Individual
ANDREA LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
6300 TELEGRAPH AVE, OAKLAND, CA 94609-1329
(510) 547-8293
(510) 547-2102
Mailing address
4817 BROOKDALE AVE, OAKLAND, CA 94619-2510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 26899
CA
Other
Enumeration date
11/03/2006
Last updated
07/08/2007
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