MATT LONG

WICHITA, KS
NPI1558235622
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: KS  18-01807)
Enumeration Date2025-10-01
Last Update Date2025-10-01
Business Address
MATT LONG
335 S CRESTWAY ST
WICHITA, KS 67218-1313
Phone number: 316-993-4706
Mailing Address
MATT LONG
335 S CRESTWAY ST
WICHITA, KS 67218-1313
Phone number: 316-993-4706