Individual
JOSE LONGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4560 SE INTERNATIONAL WAY, STE 100, MILWAUKIE, OR 97222-4628
(971) 206-5237
Mailing address
9909 TUNGSTEN ST, BAKERSFIELD, CA 93311-9516
(626) 315-4355
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
33786
CA
Other
Enumeration date
01/29/2016
Last updated
01/29/2016
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