IndividualActive
Pamela Long, OT
NPI 1700025475 · Physical Rehabilitation Occupational Therapist · Glen Carbon, IL
Provider details
- NPI number
- 1700025475
- Entity type
- Individual
- Primary specialty
- Physical Rehabilitation Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OT
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
12 Saffrin Hill Ct
Glen Carbon, IL 62034-1561
Phone: (314) 877-8754
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 203
Maryville, IL 62062-0203
Additional practice locations (1)
- 1380 River Bend DrDallas, TX 75247-4914Phone: (214) 743-6159
Registry dates
- Enumerated
- 2009-02-19
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.