Individual
MRS. LORI ALICE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6901 N 72ND ST, OMAHA, NE 68122-1709
(402) 572-3069
Mailing address
6901 N 72ND ST, OMAHA, NE 68122-1709
(402) 572-3069
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1659
NE
Other
Enumeration date
08/22/2013
Last updated
08/22/2013
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