MR. Justin Wayne Long, MPT

NPI #1184728263 in Dacula, Georgia

Provider Information

NPI Number: 1184728263
Entity Type: Individual
Name: MR. Justin Wayne Long, MPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: MPT
Enumeration Date: Sep 11, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2085 HAMILTON CREEK PKWY
Address 2: SUITE 160
City: Dacula
State: Georgia
ZIP Code: 30019
Phone: (770) 271-1488

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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