Individual
SONDRA STEPHANIE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LOTR, MOT
Contact information
Practice address
5201 SHREVEPORT HWY, PINEVILLE, LA 71360-3527
(318) 640-3014
Mailing address
5257 BLUEBIRD LN, ALEXANDRIA, LA 71303-2490
(318) 780-5619
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
200222
LA
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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