Individual
AUNDRIA GRACE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 MOUNTAIN VIEW DR, ROCKY TOP, TN 37769-3029
(423) 494-6523
Mailing address
109 MOUNTAIN VIEW DR, ROCKY TOP, TN 37769-3029
(423) 494-6523
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8700
TN
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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