Individual
MRS. DANIELLE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, LAT, ATC
Contact information
Practice address
448 E 4TH ST, BERNVILLE, PA 19506-9540
(610) 763-3482
Mailing address
448 E 4TH ST, BERNVILLE, PA 19506-9540
(610) 763-3482
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003733
PA
Other
Enumeration date
04/24/2014
Last updated
04/24/2014
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