Individual
CORRIE MICHELLE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
129 HAMPTON ST, ROCK HILL, SC 29730-4509
(803) 980-4900
(803) 980-4902
Mailing address
129 HAMPTON ST, ROCK HILL, SC 29730-4509
(803) 980-4900
(803) 980-4902
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11627
NC
225100000X
Physical Therapist
Primary
5823
SC
Other
Enumeration date
09/15/2008
Last updated
09/15/2008
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