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1689004616
ELYSE LOWERY-LONG
KISSIMMEE, FL
NPI
1689004616
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: FL OTA 12950)
Enumeration Date
2013-11-12
Last Update Date
2013-11-12
Business Address
-- ELYSE LOWERY-LONG
651 MCKINLEY CT
KISSIMMEE, FL 34758-3235
Phone number: 321-230-0900
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Mailing Address
-- ELYSE LOWERY-LONG
651 MCKINLEY CT
KISSIMMEE, FL 34758-3235
Phone number:
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