| NPI | 1063566248 |
|---|---|
| Other Name | JACQUELINE LISA FOX-LONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AZ 3442) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 916948) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2007-07-08 |