Individual
MR. BRETT LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
37 CENTRAL AVENUE, WELLSBORO, PA 16901
(717) 460-7180
Mailing address
875 HAWTHORN AVENUE, MECHANICSBURG, PA 17055
(717) 460-7180
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE011299
PA
Other
Enumeration date
03/15/2017
Last updated
03/15/2017
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