Individual
MR. BRENT DAVID LONGENECKER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
1944 LINCOLN HWY E, SUITE 1, LANCASTER, PA 17602-5903
(717) 397-2678
Mailing address
220 MOORE RD, DOWNINGTOWN, PA 19335-4508
(610) 321-0325
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT011495L
PA
Other
Enumeration date
06/07/2006
Last updated
07/08/2007
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