Individual
JEANNA MICHELLE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
743 S BENEVA RD, SARASOTA, FL 34231-2411
(941) 953-9612
(941) 953-9612
Mailing address
743 S BENEVA RD, SARASOTA, FL 34231-2411
(941) 953-9612
(941) 953-9612
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
OTA10991
FL
Other
Enumeration date
05/30/2013
Last updated
05/30/2013
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