MR. Corey Thomas Long, PT

NPI #1861460511 in Southlake, Texas

Provider Information

NPI Number: 1861460511
Entity Type: Individual
Name: MR. Corey Thomas Long, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Mar 9, 2006
Last Updated: Feb 19, 2020

Practice Location

Address: 731 E SOUTHLAKE BLVD STE 150
City: Southlake
State: Texas
ZIP Code: 76092-6380
Phone: (817) 442-8600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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