Kylie Ann Longley, COTA/L

NPI #1528401148 in Longview, Washington

Provider Information

NPI Number: 1528401148
Entity Type: Individual
Name: Kylie Ann Longley, COTA/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: COTA/L
Enumeration Date: Apr 12, 2013
Last Updated: Apr 12, 2013

Practice Location

Address: 1600 3RD AVE
City: Longview
State: Washington
ZIP Code: 98632-3231
Phone: (360) 425-9810

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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