Alice Lurline Long in San Rafael - Geriatrics

Alice Lurline Long - NPI 1134380884

Alice Lurline Long is a Geriatrics in San Rafael, California. Alice Lurline Long practices all healthcare services and medical treatments related to Geriatrics. The NPI Number for Alice Lurline Long is 1134380884. The last update date is 2008-06-24.

Alice Lurline Long's current location address is 859 Hacienda Way, San Rafael, California. You can contact this provider via phone number 4155070377 and fax number 4154911320. The mailing address for Alice Lurline Long is 859 Hacienda Way, San Rafael, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Alice Lurline Long
Address 859 Hacienda Way, San Rafael, California
Phone Number 4155070377
Fax Number 4154911320
Sole Proprietor N
Credentials PHYSICAL T

NPI Number Detail

NPI Number 1134380884
Provider Enumeration Date 2008-06-24
Last Updated Date 2008-06-24

Provider Mailing Address Detail

Address 859 Hacienda Way
City San Rafael
State California (CA)
Post Code 949032911
Phone Number 4155070377
Fax Number 4154911320

Provider's Primary Taxonomy Detail

Speciality Geriatrics
Taxonomy 2251G0304X
Licence No 11180
Definition:
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evid

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FAQs about Alice Lurline Long

What is the unique 10-digit identification code assigned to Alice Lurline Long by the Centers for Medicare & Medicaid Services?

The Alice Lurline Long has been issued the NPI (National Provider Identifier) 1134380884, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Alice Lurline Long's facilities are situated?

The facilities of Alice Lurline Long are physically located at the following address: 859 Hacienda Way, San Rafael, CA, 949032911.

What is Alice Lurline Long's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Alice Lurline Long is Geriatrics, and the taxonomy code that categorizes this field of expertise is 2251G0304X.

On what date did the Centers for Medicare & Medicaid Services assign the 1134380884 to Alice Lurline Long?

The Centers for Medicare & Medicaid Services assigned the 1134380884 to Alice Lurline Long on 2008-06-24.

When was the information related to Alice Lurline Long most recently updated or refreshed?

The details pertaining to the Alice Lurline Long, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-06-24.

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