| Doctor Name: | BRETT J LONGO |
| NPI Number: | 1407956329 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RPT |
| License Number: | PT20230 |
| Business Practice Address: | 27075 Sunningdale Way Valley Center, CA - 920826642 |
| Business Phone Number: | 7602974674 |
| Business Fax Number: | 7607492556 |
| Mailing Address: | 27075 Sunningdale Way, VALLEY CENTER |
| State: | CA |
| Postal Code: | 920826642 |
| Phone Number: | 7602974674 |
| Fax Number: | 7607492556 |
| NPI Enumeration Date: | 09/22/2006 |
| NPI Last Update Date: | 04/13/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT20230 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| 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 |