Individual
MR. CRAIG ALLEN LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
7754 66TH ST N, PINELLAS PARK, FL 33781-3100
(727) 492-4668
Mailing address
17735 GULF BLVD, 406, REDINGTON SHORES, FL 33708-1299
(727) 492-4668
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
60720
FL
Other
Enumeration date
10/21/2010
Last updated
10/21/2010
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