THOMAS LONG

MABLETON, GA
NPI1386017986
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: GA  OT005651)
Enumeration Date2015-11-04
Last Update Date2015-11-04
Business Address
-- THOMAS LONG
5908 COBBLESTONE CREEK CIR
MABLETON, GA 30126-2654
Phone number: 931-241-1159
Mailing Address
-- THOMAS LONG
5908 COBBLESTONE CREEK CIR
MABLETON, GA 30126-2654
Phone number: 931-241-1159
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