Individual
GISELE ANTOINETTE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27514
(984) 215-3444
Mailing address
101 MANNING DR, CHAPEL HILL, NC 27514-4226
(984) 215-3444
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9478
NC
Other
Enumeration date
05/01/2014
Last updated
05/10/2019
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