Individual
MR. JOHN JOSEPH LONGMORE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1234 E BROOMFIELD ST, MT PLEASANT, MI 48858-4491
(989) 773-1333
(989) 773-1303
Mailing address
415 E CHIPPEWA ST, MT PLEASANT, MI 48858-1613
(989) 773-9404
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
06/14/2007
Last updated
07/08/2007
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