Individual
MEGAN DENISE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
31037 HOLDEN DR, DAVENPORT, IA 52804
(563) 359-4054
(563) 359-4084
Mailing address
31037 HOLDEN DR, DAVENPORT, IA 52804
(563) 370-3550
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
01348
IA
225X00000X
Occupational Therapist
—
IL
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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