Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Mallory A Long

Individual provider Occupational Therapy Assistant · NPI 1194486894

MS. Mallory A Long is an Occupational Therapy Assistant in Homosassa, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2022
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Practice location Address checks out

8477 S Suncoast Blvd
Homosassa, FL 34446-5028
Phone: (800) 381-0822
Fax: (352) 565-5201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8475 University Pkwy, Pensacola, FL 32514-4917 — (850) 474-1252

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OTA18694 (FL)

Record details

NPI number1194486894
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 4, 2022
Last updated in NPPESNovember 20, 2024
Certification dateNovember 20, 2024
Mailing address8477 S Suncoast Blvd, Homosassa, FL 34446-5028

Other providers in Homosassa