MALLORY A LONG

HOMOSASSA, FL
NPI1194486894
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: FL  OTA18694)
Enumeration Date2022-01-04
Last Update Date2024-11-20
Business Address
Ms. MALLORY A LONG
8477 S SUNCOAST BLVD
HOMOSASSA, FL 34446-5028
Phone number: 800-381-0822
Mailing Address
Ms. MALLORY A LONG
8477 S SUNCOAST BLVD
HOMOSASSA, FL 34446-5028
Phone number: 800-381-0822
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