Individual
JAYME LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
430 PENN LINCOLN DR, IMPERIAL, PA 15126-9781
(724) 695-5661
(724) 695-7135
Mailing address
2023 FIELDSTONE AVE, SUMMERHILL, PA 15958-3908
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RTO000391
PA
Other
Enumeration date
04/29/2019
Last updated
04/29/2019
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