Individual
MARIE CAMILLE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20712
CO
225100000X
Physical Therapist
24377
MA
225100000X
Physical Therapist
64688
OR
Other
Enumeration date
09/09/2019
Last updated
07/24/2025
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