Individual
MRS. CHRISTINE L ONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1801 FOREST HILLS BLVD, STE 205, BELLA VISTA, AR 72715-3016
(479) 855-9348
(479) 855-9358
Mailing address
1801 FOREST HILLS BLVD, STE.# 205, BELLA VISTA, AR 72715-3016
(479) 855-9348
(479) 855-9358
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1741
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5U946
BCBC
AR
Enumeration date
04/26/2006
Last updated
04/15/2011
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