Individual
MICHELLE LONGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
4560 SE INTERNATIONAL WAY, STE 100, MILWAUKIE, OR 97222-4628
(971) 206-5237
Mailing address
9909 TUNGSTEN ST, BAKERSFIELD, CA 93311-9516
(714) 906-9962
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
32856
CA
Other
Enumeration date
01/24/2016
Last updated
01/24/2016
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