Individual
BETTY K LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA/L
Contact information
Practice address
3998 HIGHWAY 1 N, FORREST CITY, AR 72335-7637
(870) 633-2120
(870) 633-1738
Mailing address
3998 HIGHWAY 1 N, FORREST CITY, AR 72335-7637
(870) 633-2120
(870) 633-1738
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
O-T1304
AR
Other
Enumeration date
05/02/2013
Last updated
05/02/2013
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