Individual
MS. KATHERINE JANE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
700 E CLEVELAND AVE, MONETT, MO 65708-1436
(417) 236-2480
(417) 236-2481
Mailing address
5604 S NEWTON AVE, SPRINGFIELD, MO 65810-2319
(417) 889-6925
(417) 236-2481
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01890
MO
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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