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1184696692
KELLY A LONG
ALEXANDRIA, VA
NPI
1184696692
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305204524)
Enumeration Date
2006-02-07
Last Update Date
2007-07-08
Business Address
-- KELLY A LONG PT
6355 WALKER LN SUITE 404
ALEXANDRIA, VA 22310-3245
Phone number: 703-797-6900
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Mailing Address
-- KELLY A LONG PT
9900 MAIN ST SUITE 200A
FAIRFAX, VA 22031-3907
Phone number: 703-279-4394
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