Individual
ANNA MARIE HANSEN LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
901 S GREELEY HWY STE B, CHEYENNE, WY 82007-3020
(307) 634-2109
Mailing address
823 DOGWOOD AVE, CHEYENNE, WY 82009-1029
(307) 349-7528
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1062
WY
Other
Enumeration date
07/13/2006
Last updated
04/24/2024
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