Samuel Long

NPI #1205588472 in Moline, Illinois

Provider Information

NPI Number: 1205588472
Entity Type: Individual
Name: Samuel Long
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jan 19, 2022
Last Updated: Jan 19, 2022

Practice Location

Address: 510 VALLEY VIEW DR
City: Moline
State: Illinois
ZIP Code: 61265-6133
Phone: (309) 797-0866

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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