Individual provider · Type 1 NPI

Mallory A. Long

Occupational Therapy Assistant · Homosassa, FL

NPI number 1194486894 Active

Practice location

8477 S Suncoast Blvd
Homosassa, FL 34446-5028

Fax (352) 565-5201

Other practice locations

  • 8475 University Pkwy, Pensacola, FL 32514-4917 · (850) 474-1252

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOTA18694 (FL)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1194486894

Mallory A. Long's National Provider Identifier is 1194486894, issued on Jan 4, 2022. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Homosassa, FL. The record was last updated on Nov 20, 2024.