| NPI | 1093180275 |
|---|---|
| Former Name | CARRAH PAULETTE LONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224ZR0403X Occupational Therapy Assistant, Driving and Community Mobility (Licence: PA OP006370) |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2015-12-14 |