Thea Fluevog Longo, P.T.

NPI #1396778296 in Venice, Florida

Provider Information

NPI Number: 1396778296
Entity Type: Individual
Name: Thea Fluevog Longo, P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Jul 7, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 333 TAMIAMI TRL S
Address 2: SUITE 207
City: Venice
State: Florida
ZIP Code: 34285-2402
Phone: (941) 484-5659

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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