Individual
MCKENZIE DUGAN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5620 W THUNDERBIRD RD, B1, GLENDALE, AZ 85306-4636
(602) 938-2422
Mailing address
PO BOX 10837, GLENDALE, AZ 85318-0837
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10460
AZ
Other
Enumeration date
08/08/2013
Last updated
08/08/2013
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