Doctor Name: | MRS. CHRISTINE L ONG |
NPI Number: | 1073579140 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT1741 |
Business Practice Address: | 1801 Forest Hills Blvd Ste 205 Bella Vista, AR - 727153016 |
Business Phone Number: | 4798559348 |
Business Fax Number: | 4798559358 |
Mailing Address: | 1801 Forest Hills Blvd, Ste.# 205 BELLA VISTA |
State: | AR |
Postal Code: | 727153016 |
Phone Number: | 4798559348 |
Fax Number: | 4798559358 |
NPI Enumeration Date: | 04/26/2006 |
NPI Last Update Date: | 04/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT1741 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
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 |