Dustin David Long

NPI #1306413091 in Henderson, Texas

Provider Information

NPI Number: 1306413091
Entity Type: Individual
Name: Dustin David Long
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jun 10, 2021
Last Updated: Jun 10, 2021

Practice Location

Address: 1010 W MAIN ST
City: Henderson
State: Texas
ZIP Code: 75652-2923
Phone: (903) 657-6513

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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