| NPI | 1124350681 |
|---|---|
| Other Name | KATHERINE LONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 24341) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 36233) |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2016-01-26 |