PAMELA LONG

GLEN CARBON, IL
NPI1700025475
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225XP0019X Occupational Therapist, Physical Rehabilitation
Additional Taxonomies225X00000X Occupational Therapist
225XN1300X Occupational Therapist, Neurorehabilitation
225XP0200X Occupational Therapist, Pediatrics
(Licence: TX  113413)
Enumeration Date2009-02-19
Last Update Date2025-09-11
Business Address
-- PAMELA LONG OT
12 SAFFRIN HILL CT
GLEN CARBON, IL 62034-1561
Phone number: 314-877-8754
Mailing Address
-- PAMELA LONG OT
PO BOX 203
MARYVILLE, IL 62062-0203
Phone number: 314-877-8754