Individual
QUIANA D. LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
317 PALAZZO CIR APT 301, LOUISVILLE, KY 40222-5802
(502) 509-9502
Mailing address
317 PALAZZO CIR APT 301, LOUISVILLE, KY 40222-5802
(502) 509-9502
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R3809
KY
Other
Enumeration date
08/11/2009
Last updated
08/22/2022
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