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1174747398
TISH LEE LONG
LAKE MARY, FL
NPI
1174747398
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Former Name
TISH LEE SAMBROOK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XH1200X Occupational Therapist, Hand
(Licence: FL OT7361)
Enumeration Date
2007-04-11
Last Update Date
2020-02-03
Business Address
Mrs. TISH LEE LONG OTR
1337 S INTERNATIONAL PKWY STE 1321
LAKE MARY, FL 32746-1402
Phone number: 407-833-0802
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Mailing Address
Mrs. TISH LEE LONG OTR
1337 S INTERNATIONAL PKWY STE 1321
LAKE MARY, FL 32746-1402
Phone number: 407-833-0802
Copy
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