Individual
KATHERINE KNOLL LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3280 DAUPHIN ST STE A103, MOBILE, AL 36606-4048
(251) 459-8402
(251) 459-8403
Mailing address
1908 FLINT RD SE, DECATUR, AL 35601-6031
(256) 340-9708
(256) 340-9624
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT 19574
FL
225100000X
Physical Therapist
Primary
PTH5448
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003819608
GROUP NPI
AL
05
—
529917620
—
AL
Enumeration date
01/20/2010
Last updated
11/18/2014
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