Individual
JOAN M LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.P.T.
Contact information
Practice address
64 INDUSTRIAL PARK RD, PLYMOUTH, MA 02360-4881
(508) 747-2012
Mailing address
64 INDUSTRIAL PARK RD, PLYMOUTH, MA 02360-4881
(508) 747-2012
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2650
MA
Other
Enumeration date
11/18/2007
Last updated
11/18/2007
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