Individual
MRS. DONNA A LONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
22971 VIA DE SONRISA DEL NORTE, BOCA RATON, FL 33433-3905
(561) 955-9384
(561) 392-7395
Mailing address
6718 CANARY PALM CIR, BOCA RATON, FL 33433-6462
(561) 392-5092
(561) 245-8943
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT14279
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y0560
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/26/2006
Last updated
05/04/2020
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