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Contact Information

JAMI LONG, COTA
4180 SAGE BLUFF CROSSIN
FORT WAYNE, IN46804
 Phone: 260-443-7300
 Fax: 260-482-5005
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for JAMI LONG · (Female)

NPI Number 1063801348
Status Active
Credentials COTA (Certified Occupational Therapy Assistant)
Entity Individual
Enumeration date 01/09/2015
Last updated 01/09/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 32001151A
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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