LISA A LONG

FAIRFAX, VT
NPI1942518717
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: VT  0400067001)
Enumeration Date2010-09-15
Last Update Date2010-09-15
Business Address
-- LISA A LONG DPT
1282 MAIN ST
FAIRFAX, VT 05454-9534
Phone number: 802-849-9308
Mailing Address
-- LISA A LONG DPT
1889 VT ROUTE 128
WESTFORD, VT 05494-9611
Phone number: 802-881-6013
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