Individual
MS. JAYNE ELLEN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2805 CAMPUS DR, PLYMOUTH, MN 55441-2676
(763) 236-5555
(763) 236-5557
Mailing address
2805 CAMPUS DR STE 345, PLYMOUTH, MN 55441-2679
(763) 236-5555
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2702
MN
Other
Enumeration date
03/13/2007
Last updated
04/02/2020
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