Individual
CRYSTOPHER J LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
PARKWAY POST ACUTE RECOVERY CENTER, 6312 N PORTLAND, OKLAHOMA CITY, OK 73112
(405) 272-0700
Mailing address
2035 E IRON AVE STE 224, SALINA, KS 67401-3433
(785) 407-0180
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3642
OK
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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