Individual
MRS. VICTORIA LEIGH LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MSPT, ATC
Contact information
Practice address
67 MIDTOWN PARK EAST, MOBILE, AL 36607-4141
(251) 476-1279
Mailing address
67 MIDTOWN PARK EAST, MOBILE, AL 36607
(251) 476-1279
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH3718
AL
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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