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1174595953
DIANE K LONG
GREENWICH, CT
NPI
1174595953
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Primary Taxonomy
225100000X Physical Therapist
(Licence: CT 003812)
Enumeration Date
2006-02-06
Last Update Date
2007-07-08
Business Address
DIANE K LONG PT
6 GREENWICH OFFICE PARK
GREENWICH, CT 06831-5151
Phone number: 203-869-1145
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Mailing Address
DIANE K LONG PT
6 GREENWICH OFFICE PARK
GREENWICH, CT 06831-5151
Phone number: 203-869-1145
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