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Individual

KATHERINE LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
536 OLD HOWELL RD, GREENVILLE, SC 29615-1969
(864) 244-3626
Mailing address
2448 DEANWOOD DR, RALEIGH, NC 27615-3994
(336) 314-9656

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15463
NC

Other

Enumeration date
03/24/2015
Last updated
03/24/2015
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