Individual
ROBERT LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
14715 BRISTOL PARK BLVD, EDMOND, OK 73013-1894
(405) 840-1686
(405) 840-1006
Mailing address
14715 BRISTOL PARK BLVD, EDMOND, OK 73013-1894
(405) 840-1686
(405) 840-1006
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5455
OK
Other
Enumeration date
05/30/2018
Last updated
05/30/2018
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