Individual
KATHERINE L LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
6000 HEISLEY RD, MENTOR, OH 44060-1836
(440) 357-6677
(440) 357-6681
Mailing address
6000 HEISLEY RD, MENTOR, OH 44060-1836
(440) 357-6677
(440) 357-6681
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT014250
OH
Other
Enumeration date
07/29/2013
Last updated
12/03/2015
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