Provider Demographics
NPI:1467583880
Name:LONG, CHRISTOPHER A (PT)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:A
Last Name:LONG
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Gender:M
Credentials:PT
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Mailing Address - Street 1:200 MERCY CIRCLE
Mailing Address - Street 2:PHYSICAL THERAPY DEPT
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92055
Mailing Address - Country:US
Mailing Address - Phone:949-763-6059
Mailing Address - Fax:949-916-2302
Practice Address - Street 1:26471 CROWN VALLEY PKWY
Practice Address - Street 2:SUITE 200
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-6378
Practice Address - Country:US
Practice Address - Phone:949-916-2601
Practice Address - Fax:949-916-2302
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2024-02-12
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Provider Licenses
StateLicense IDTaxonomies
CAPT184802251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic