Heather D Long, PTA

NPI #1366709214 in Belcamp, Maryland

Provider Information

NPI Number: 1366709214
Entity Type: Individual
Name: Heather D Long, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Apr 17, 2012
Last Updated: Apr 17, 2012

Practice Location

Address: 1361 BRASS MILL RD STE B
City: Belcamp
State: Maryland
ZIP Code: 21017-1213
Phone: (410) 273-2060

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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