Individual
ANTOINETTE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
855 N PARK RD APT C301, WYOMISSING, PA 19610-1354
(610) 781-8806
Mailing address
855 N PARK RD APT C301, WYOMISSING, PA 19610-1354
(610) 781-8806
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG013531
PA
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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