Doctor Name: | MR. CHRISTOPHER MACLEAN LONG |
NPI Number: | 1265592448 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.P.T. |
License Number: | 5501929883 |
Business Practice Address: | 10901 N Rodney Parham Rd Ste 7a Little Rock, AR - 722124114 |
Business Phone Number: | 5013014530 |
Business Fax Number: | 5012511165 |
Mailing Address: | Po Box 241574, LITTLE ROCK |
State: | AR |
Postal Code: | 722230011 |
Phone Number: | 5013014530 |
Fax Number: | 5012511165 |
NPI Enumeration Date: | 12/11/2006 |
NPI Last Update Date: | 04/20/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501929883 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
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 |