Individual
KIMBRI RENEE' LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3801 VISTA RD, SUITE 200, PASADENA, TX 77504-2159
(713) 910-5437
(713) 910-5445
Mailing address
3801 VISTA RD STE 200, PASADENA, TX 77504-2139
(713) 910-5437
(713) 910-5445
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1224596
TX
Other
Enumeration date
09/06/2012
Last updated
01/27/2015
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