Lisa A Long, DPT

NPI #1942518717 in Fairfax, Vermont

Provider Information

NPI Number: 1942518717
Entity Type: Individual
Name: Lisa A Long, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Sep 15, 2010
Last Updated: Sep 15, 2010

Practice Location

Address: 1282 MAIN ST
City: Fairfax
State: Vermont
ZIP Code: 05454-9534
Phone: (802) 849-9308

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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