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 10 years ago
Practice Location
4100 W 3RD ST
DAYTON OH, 45428-9000, US
Phone (937) 268-6511
Fax
Business Location
4201 WOODBINE AVE
DAYTON OH, 45420-2751, US
Phone (937) 252-2411
Fax
Toxanomy
Taxonomy Code 225800000X
License State
License Number 14860
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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.