Doctor Name: | MR. BRIAN D LONG |
NPI Number: | 1013925189 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT/ATC |
License Number: | 1906 |
Business Practice Address: | 10700 Sapp Brothers Dr Omaha, NE - 681383823 |
Business Phone Number: | 4022031872 |
Business Fax Number: | |
Mailing Address: | 10700 Sapp Brothers Dr, OMAHA |
State: | NE |
Postal Code: | 681383823 |
Phone Number: | 4022031872 |
Fax Number: | |
NPI Enumeration Date: | 08/04/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1906 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | NE |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |