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THOMAS LONG

>> Occupational Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1386017986

Individual Registrant:
 THOMAS  LONG 
Gender: M
Sole Proprietor

Location and contact information for practice:
5908 COBBLESTONE CREEK CIR  MABLETON, GA 30126-2654 US
Tel: 931-241-1159  Fax: --

Contact information for business:
5908 COBBLESTONE CREEK CIR  MABLETON, GA 30126-2654 US
Tel: 931-241-1159  Fax: --

Registration Information:
NPI: 1386017986
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
GAOT005651

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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