Individual provider · Type 1 NPI

Kylie Ann Longley, COTA/L

Specialist · Longview, WA

NPI number 1528401148 Active

Practice location

1600 3rd Ave
Longview, WA 98632-3231

Fax (360) 425-1053

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XOC 60345231 (WA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1528401148

Kylie Ann Longley, COTA/L's National Provider Identifier is 1528401148, issued on Apr 12, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Longview, WA. The record was last updated on Apr 12, 2013.