Daniel Everett Long, P.T.

NPI #1790727717 in Madisonville, Tennessee

Provider Information

NPI Number: 1790727717
Entity Type: Individual
Name: Daniel Everett Long, P.T.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Specialist
Credential: P.T.
Enumeration Date: Jun 12, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 520 COOK ST
Address 2: SUITE D
City: Madisonville
State: Tennessee
ZIP Code: 37354-1508
Phone: (423) 442-1440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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Organizations

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