Robert Wayne Long III, P.T.A.

NPI #1073998571 in Peru, Indiana

Provider Information

NPI Number
1073998571
Entity Type
Individual
Name
Robert Wayne Long III, P.T.A.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapy Assistant
Credential
P.T.A.
Enumeration Date
Jul 25, 2015
Last Updated
Jul 25, 2015

Practice Location

Address
275 W 12TH ST
City
Peru
State
Indiana
ZIP Code
46970-1638
Phone
(765) 472-8000

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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