Thomas Long

NPI #1386017986 in Mableton, Georgia

Provider Information

NPI Number
1386017986
Entity Type
Individual
Name
Thomas Long
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapist
Enumeration Date
Nov 4, 2015
Last Updated
Nov 4, 2015

Practice Location

Address
5908 COBBLESTONE CREEK CIR
State
Georgia
ZIP Code
30126-2654
Phone
(931) 241-1159

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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