Organization
THE LONG INSTITUTE OF THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDA ARTINA THOMAS (CREDENTIALING SPECIALIST)
(770) 302-0555
Entity
Organization
Contact information
Practice address
4080 FIREOAK DR, DECATUR, GA 30032-3881
(301) 437-1241
(770) 825-9200
Mailing address
4080 FIREOAK DR, DECATUR, GA 30032-3881
(301) 437-1241
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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