| Thomas Long, | |
|
5908 Cobblestone Creek Cir, Mableton, GA 30126-2654 | |
| (931) 241-1159 | |
| Not Available |
| Full Name | Thomas Long |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 5908 Cobblestone Creek Cir, Mableton, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386017986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT005651 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Long, 5908 Cobblestone Creek Cir, Mableton, GA 30126-2654 Ph: (931) 241-1159 | Thomas Long, 5908 Cobblestone Creek Cir, Mableton, GA 30126-2654 Ph: (931) 241-1159 |
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