Individual
MRS. SIDNEY RAIN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8530 S 36TH TERR, FORT SMITH, AR 72908
(918) 436-9986
Mailing address
18750 RHINO RD, SPIRO, OK 74959-4724
Taxonomy
Speciality
Code
Description
License number
State
226000000X
Recreational Therapist Assistant
Primary
1850
OK
Other
Enumeration date
03/07/2023
Last updated
03/07/2023
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