TISH KENNEDY LONG

VIRGINIA BEACH, VA
NPI1013428333
Former NameTISH KENNEDY LONG
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: VA  2305204042)
Enumeration Date2017-10-12
Last Update Date2021-04-07
Business Address
Dr. TISH KENNEDY LONG PT, DPT
984B LASKIN RD
VIRGINIA BEACH, VA 23451-3905
Phone number: 757-395-6900
Mailing Address
Dr. TISH KENNEDY LONG PT, DPT
984B LASKIN RD
VIRGINIA BEACH, VA 23451-3905
Phone number: 757-395-6970
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