Individual
MR. JAMES CHRISTOPHER LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MBA, MS, OTR
Contact information
Practice address
1119 LAKE BLUFF CIRCLE, LOUISVILLE, KY 40245
(502) 552-3558
Mailing address
1119 LAKE BLUFF CIRCLE, LOUISVILLE, KY 40245
(502) 552-3558
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
31003703A
IN
225X00000X
Occupational Therapist
Primary
R1507
KY
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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