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NPI Code Detail

MEDICARE: DR. KATHERINE LUGER LONG PH.D.,OTR/L

MEDICARE: DR. KATHERINE LUGER LONG PH.D.,OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist030725NY

General Provider Information

NPI Number : 1649624982
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHERINE LUGER LONG PH.D.,OTR/L
Provider Business Mailing Address
First Line : 384 BROWNCROFT BLVD APT 5
Second Line :
City : ROCHESTER
State : NY
Zip : 14609-7819
Country : US
Telephone Number : 585-730-3834
Fax Number :
Provider Business Practice Location Address
First Line : 3599 BIG RIDGE RD
Second Line :
City : SPENCERPORT
State : NY
Zip : 14559-1799
Country : US
Telephone Number : 585-352-2400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2016
Last Update Date : 05/28/2026

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