Organization
TERESA LONG PHYSICAL THERAPT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESA LONG PT (PT)
(502) 552-3530
Entity
Organization
Contact information
Practice address
1119 LAKE BLUFF CIR, LOUISVILLE, KY 40245-5239
(502) 552-3530
(502) 244-5844
Mailing address
1119 LAKE BLUFF CIR, LOUISVILLE, KY 40245-5239
(502) 552-3530
(502) 244-5844
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
002535
KY
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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