Individual
ALICE LURLINE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
1550 SILVEIRA PKWY, SAN RAFAEL, CA 94903-4879
(415) 446-3817
(415) 491-1320
Mailing address
859 HACIENDA WAY, SAN RAFAEL, CA 94903-2911
(415) 507-0377
(415) 491-1320
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
11180
CA
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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