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Contact Information

NATHAN D LONG, OTR/L
564 S WOODRUFF AVE
IDAHO FALLS, ID83401
 Phone: 208-523-7571
 Fax: 208-523-7573
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for NATHAN D LONG · (Male)

NPI Number 1740489293
Status Active
Credentials OTR/L (Occupational Therapist, Registered, Licensed)
Entity Individual
Enumeration date 07/15/2007
Last updated 06/18/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • WA License # OT00004503
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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