Individual
BERNARD N LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
HWY 34 & 47, FT THOMPSON, SD 57339-0200
(605) 245-1529
(605) 245-2150
Mailing address
24146 349TH AVE, PUKWANA, SD 57370-6006
(605) 245-1529
(605) 245-2150
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
579
ND
Other
Enumeration date
07/17/2006
Last updated
07/21/2022
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