SHANNON E LONG

EVERETT, WA
NPI1013286848
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WA  PT60225315)
Additional Taxonomies225100000X Physical Therapist
(Licence: NC  P14487)
Enumeration Date2011-12-23
Last Update Date2017-03-15
Business Address
-- SHANNON E LONG PT, DPT
3927 RUCKER AVE
EVERETT, WA 98201-4833
Phone number: 425-339-5419
Mailing Address
-- SHANNON E LONG PT, DPT
PO BOX 5127
EVERETT, WA 98206-5127
Phone number: 425-339-5419