Angie Long in Odessa - Occupational Therapist

Angie Long - NPI 1578696118

Angie Long is a Occupational Therapist in Odessa, Texas. Angie Long practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Angie Long is 1578696118. The last update date is 2007-07-08.

Angie Long's current location address is 620 N Alleghaney Ave, Odessa, Texas. You can contact this provider via phone number 4323328244 and fax number 4325807428. The mailing address for Angie Long is 620 N Alleghaney Ave, Odessa, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Angie Long
Address 620 N Alleghaney Ave, Odessa, Texas
Phone Number 4323328244
Fax Number 4325807428
Sole Proprietor N
Credentials OTR

NPI Number Detail

NPI Number 1578696118
Provider Enumeration Date 2007-03-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 620 N Alleghaney Ave
City Odessa
State Texas (TX)
Post Code 797614408
Phone Number 4323328244
Fax Number 4325807428

Provider's Primary Taxonomy Detail

Speciality Occupational Therapist
Taxonomy 225X00000X
Licence No 105493
Definition:
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
105493 TX STATE LICENSE NUMBER
8T4670 TX BCBS PROVIDER NUMBER

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FAQs about Angie Long

What is the Angie Long's 1578696118?

The Angie Long's NPI (National Provider Identifier) Number is 1578696118. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Angie Long is physically located?

The Angie Long is physically situated at the following address: 620 N Alleghaney Ave, Odessa, TX, 797614408.

What is Angie Long's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Angie Long is Occupational Therapist, and the corresponding taxonomy classification code for this specialized field is 225X00000X.

On what date did the Angie Long receive its 1578696118 assignment from the Centers for Medicare & Medicaid Services?

The Angie Long was assigned its 1578696118 by the Centers for Medicare & Medicaid Services on 2007-03-13.

When was the information related to Angie Long most recently updated or refreshed?

The details pertaining to the Angie Long, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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