Individual
MRS. CARMEN LORRAINE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
9000 N RODNEY PARHAM RD, LITTLE ROCK, AR 72205-1646
(501) 503-5160
(501) 503-5160
Mailing address
9000 N RODNEY PARHAM RD, LITTLE ROCK, AR 72205-1646
(501) 503-5160
(501) 503-5160
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR142
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116099721
—
AR
Enumeration date
05/23/2006
Last updated
08/04/2020
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