Individual
HEATHER D LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1361 BRASS MILL RD STE B, BELCAMP, MD 21017-1213
(410) 273-2060
(410) 273-2404
Mailing address
10015 OLD COLUMBIA RD, SUITE B-215, COLUMBIA, MD 21046-1703
(410) 356-6161
(410) 510-1779
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3522
MD
Other
Enumeration date
04/17/2012
Last updated
04/17/2012
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