JACQUI LONG

CHARLOTTE, NC
NPI1720310147
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NC  10443)
Enumeration Date2010-02-10
Last Update Date2016-10-14
Business Address
-- JACQUI LONG MSOTR/L
1915 RANDOLPH RD
CHARLOTTE, NC 28207-1101
Phone number: 704-323-2248
Mailing Address
-- JACQUI LONG MSOTR/L
4601 PARK RD STE 300
CHARLOTTE, NC 28209-2290
Phone number: 704-323-2276
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