Individual
RACHAEL LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7080 CALDER AVE, BEAUMONT, TX 77706-6052
(409) 861-1123
Mailing address
576 CENTER ST, ORANGE, TX 77630-1041
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2085118
TX
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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