Doctor Name: | TAMARA BEER LONG |
NPI Number: | 1346478039 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 2926 |
Business Practice Address: | 8320 City Centre Dr Suite G Woodbury, MN - 551253382 |
Business Phone Number: | 6517389888 |
Business Fax Number: | 6517389889 |
Mailing Address: | 8320 City Centre Dr, Suite G. WOODBURY |
State: | MN |
Postal Code: | 551253382 |
Phone Number: | 6517389888 |
Fax Number: | 6517389889 |
NPI Enumeration Date: | 07/01/2009 |
NPI Last Update Date: | 07/01/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2926 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
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 |