DR. Tish Kennedy Long, PT, DPT

NPI #1013428333 in Virginia Beach, Virginia

Provider Information

NPI Number: 1013428333
Entity Type: Individual
Name: DR. Tish Kennedy Long, PT, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: Oct 12, 2017
Last Updated: Apr 7, 2021

Practice Location

Address: 984B LASKIN RD
City: Virginia Beach
State: Virginia
ZIP Code: 23451-3905
Phone: (757) 395-6900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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