Individual
ELYSE LOWERY-LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
651 MCKINLEY CT, KISSIMMEE, FL 34758-3235
(321) 230-0900
Mailing address
651 MCKINLEY CT, KISSIMMEE, FL 34758-3235
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 12950
FL
Other
Enumeration date
11/12/2013
Last updated
11/12/2013
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