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1730656315
LORI LONG ROOT
BRANDON, FL
NPI
1730656315
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Former Name
LORI JO LONG
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: FL OT1315)
Enumeration Date
2018-10-31
Last Update Date
2018-10-31
Business Address
LORI LONG ROOT OT
932 OAKFIELD DR
BRANDON, FL 33511-4950
Phone number: 813-654-1410
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Mailing Address
LORI LONG ROOT OT
5007 S SHORE CREST CIR
TAMPA, FL 33609-3623
Phone number: 813-287-8855
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