Most Relevant Information
Provider Data
| NPI Number: | 1003273962 |
| Provider Name: | MICHELLE LONGA RPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 32856 |
Most Important Dates
| Enumeration Date: | 01/24/2016 |
| Last Updated: | 01/24/2016 |
Provider Practice Location
4560 SE INTERNATIONAL WAY
STE 100
MILWAUKIE
OR
972224628
Practice Location Phone/Fax
| Phone: | 9712065237 |
| Fax: |
Provider Mailing Location
9909 TUNGSTEN ST
BAKERSFIELD
CA
933119516
Provider Mailing Phone/Fax
| Phone: | 7149069962 |
| Fax: |