Mary Susan Long, PT

NPI #1548869779 in Latrobe, Pennsylvania

Provider Information

NPI Number: 1548869779
Entity Type: Individual
Name: Mary Susan Long, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Oct 19, 2020
Last Updated: Oct 19, 2020

Practice Location

Address: 3960 STATE ROUTE 30
City: Latrobe
State: Pennsylvania
ZIP Code: 15650-5518
Phone: (724) 532-3422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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