Doctor Name: | DORANNE LONG |
NPI Number: | 1033195730 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., P.T. |
License Number: | 1086 |
Business Practice Address: | 544 Union Ave Grants Pass, OR - 975275544 |
Business Phone Number: | 5419550940 |
Business Fax Number: | 5419555233 |
Mailing Address: | 1005 Sharon Dr, GRANTS PASS |
State: | OR |
Postal Code: | 975278746 |
Phone Number: | 5414743527 |
Fax Number: | |
NPI Enumeration Date: | 12/15/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1086 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
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 |