Individual
MARK LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
9201 S SOONER RD, OKLAHOMA CITY, OK 73165-9618
(405) 455-7860
(405) 455-7865
Mailing address
9201 S SOONER RD, OKLAHOMA CITY, OK 73165-9618
(405) 455-7860
(405) 455-7865
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6759
OK
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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