Individual
MRS. STEPHANIE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2120 BRYAN VALLEY COMMERCIAL DR, O FALLON, MO 63366-3495
(636) 240-8096
(636) 272-4484
Mailing address
2120 BRYAN VALLEY COMMERCIAL DR, O FALLON, MO 63366-3495
(636) 240-8096
(636) 272-4484
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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