Individual
KAITLYN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
328 HOWELLS HILL RD, PORTAGE, PA 15946-5406
(814) 341-4921
Mailing address
328 HOWELLS HILL RD, PORTAGE, PA 15946-5406
(814) 341-4921
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3342
NH
Other
Enumeration date
12/26/2023
Last updated
12/26/2023
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