Individual
MARTHA CHRISTINE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
36 OLD HICKORY RIDGE RD, WASHINGTON, PA 15301-8613
(724) 228-5010
Mailing address
1417 SENIOR DR, PITTSBURGH, PA 15227-3740
(814) 758-8829
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
TEI000873
PA
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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