| NPI | 1023659620 |
|---|---|
| Professional Name | TRACY JANE LONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 043452) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 043452-1) |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2020-01-13 |