Individual
MR. BRIAN D LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT/ATC
Contact information
Practice address
2940 E BANNER GATEWAY DR STE 200-250, GILBERT, AZ 85234-2168
(480) 964-2908
(480) 833-2136
Mailing address
PO BOX 80217, PHOENIX, AZ 85060-0217
(602) 385-2115
(480) 418-3323
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
013397
AZ
Other
Enumeration date
08/04/2006
Last updated
08/03/2022
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