Individual
MISS ELIZABETH MARIE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
215 TANNER DR, BELTON, MO 64012-4225
(816) 686-8324
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 60211658
WA
2251N0400X
Neurology Physical Therapist
PT 60211658
WA
Other
Enumeration date
05/02/2011
Last updated
05/02/2011
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