NATHAN D LONG

IDAHO FALLS, ID
NPI1740489293
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: WA  OT00004503)
Enumeration Date2007-07-15
Last Update Date2018-06-18
Business Address
NATHAN D LONG OTR/L
564 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Phone number: 208-523-7571
Mailing Address
NATHAN D LONG OTR/L
564 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Phone number: 208-523-7571
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