Mrs. Mary Lucille Long
Physical Therapist
5401 South St
Lincoln
, Nebraska 68506-2150
Mrs. Mary Lucille Long
Physical Therapist
5401 South St
Lincoln
, Nebraska 68506-2150
(402) 486-9098
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About
Features
Specialties
- Physical Therapist
Languages spoken
- English
Location
First Address
- Mrs. Mary Lucille Long
- 5401 South St
- Lincoln, NE
- Zip : 68506-2150
- Fax : (402) 486-9098
- Phone : (402) 489-7102
Second Address
- Mrs. Mary Lucille Long
- 5401 South St
- Lincoln, NE
- Zip : 68506-2150
- Fax : (402) 486-9098
- Phone : (402) 489-7102
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 995 | NE |
National Provider Identifier
| NPI | 1003047838 |
|---|---|
| Provider Name | Mrs. Mary Lucille Long |
| First Address | Lincoln, NE 68506-2150 |
| Second Address | Lincoln, NE 68506-2150 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/07/2009 |
| Last Update Date | 28/07/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.