KELLY LONG

CHARLOTTE, NC
NPI1316319148
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NC  9864)
Enumeration Date2015-10-20
Last Update Date2015-10-20
Business Address
-- KELLY LONG
1906 KENWOOD AVE
CHARLOTTE, NC 28205-3646
Phone number: 704-726-6349
Mailing Address
-- KELLY LONG
1906 KENWOOD AVE
CHARLOTTE, NC 28205-3646
Phone number: 704-726-6349
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