Louis Long CTRS

NPI 1003855362 - Recreation Therapist - 225800000X

NPI Details
NPI 1003855362
Gender Male
Enumeration Date 06/05/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
4100 W 3RD ST
DAYTON OH, 45428-9000, US
Phone (937) 268-6511
Business Location
DAYTON OH, 45420-2751, US
Phone (937) 252-2411
Taxonomy Code 225800000X
License State
License Number 14860
Remove 1003855362 NPI Number

According to our database, Louis Long CTRS NPI is 1003855362, taxonomy code is 225800000X and license number is 14860, license state is located at . Louis Long CTRS physically located at 4100 W 3rd St, Dayton OH, 45428-9000. NPI Number Louis Long CTRS has the Individual type.

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1003855362 NPI number is provided on an as is basis without warranty of any kind. 1003855362 is maintained by the National Plan & Provider Enumeration System. The contents of Louis Long CTRS are for informational purposes only.