MEGAN DENISE LONG

DAVENPORT, IA
NPI1639183171
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IA  01348)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: IL  056.005585)
Enumeration Date2006-07-28
Last Update Date2007-07-08
Business Address
-- MEGAN DENISE LONG OT
31037 HOLDEN DR
DAVENPORT, IA 52804
Phone number: 563-359-4054
Mailing Address
-- MEGAN DENISE LONG OT
31037 HOLDEN DR
DAVENPORT, IA 52804
Phone number: 563-370-3550