Individual
MRS. RACHEL ANN LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
650 N JEFFERSON ST, ROANOKE, VA 24016-1427
(540) 345-5111
Mailing address
6640 TREVILIAN RD, ROANOKE, VA 24019-5038
(540) 362-0390
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603149
VA
Other
Enumeration date
10/20/2011
Last updated
10/20/2011
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