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Individual
WILLIAM M LONG
Active
Individual
WILLIAM M LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305209850
VA
225100000X
Physical Therapist
Primary
PT013802
GA
Other
Enumeration date
09/12/2017
Last updated
10/25/2023
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