Individual
LONG QI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
9047 SHADY GROVE CT, GAITHERSBURG, MD 20877-1301
(240) 477-7207
Mailing address
9047 SHADY GROVE CT, GAITHERSBURG, MD 20877-1301
(240) 477-7207
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
05279
MD
Other
Enumeration date
05/21/2015
Last updated
01/07/2016
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