Doctor Name: | KATHERINE LONG |
NPI Number: | 1154715530 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 15463 |
Business Practice Address: | 536 Old Howell Rd Greenville, SC - 296151969 |
Business Phone Number: | 8642443626 |
Business Fax Number: | |
Mailing Address: | 2448 Deanwood Dr, RALEIGH |
State: | NC |
Postal Code: | 276153994 |
Phone Number: | 3363149656 |
Fax Number: | |
NPI Enumeration Date: | 03/24/2015 |
NPI Last Update Date: | 03/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 15463 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
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 |