Individual
MR. JOEL M LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT, OCS
Contact information
Practice address
407 E 2ND AVE STE 100, SPOKANE, WA 99202-1428
(509) 455-6002
Mailing address
5414 S IVORY ST, SPOKANE, WA 99223-6333
(509) 448-0264
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00006327
WA
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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