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Individual

KATELYN LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2375 SINSINAWA RD, HAZEL GREEN, WI 53811-9707
(920) 988-2180
Mailing address
147 W ESTEY ST, SHULLSBURG, WI 53586-9524
(815) 275-4900

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5503-27
WI

Other

Enumeration date
02/26/2024
Last updated
02/28/2024
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