Elijah Long, DPT

NPI #1104554195 in Augusta, Georgia

Provider Information

NPI Number: 1104554195
Entity Type: Individual
Name: Elijah Long, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Aug 9, 2022
Last Updated: Aug 9, 2022

Practice Location

Address: 254 ROBERT C DANIEL JR PKWY STE 4B
City: Augusta
State: Georgia
ZIP Code: 30909-0812
Phone: (706) 723-5795

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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