Individual
RICHARD DAVID LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5101 MEDICAL DR, SAN ANTONIO, TX 78229-4801
(210) 616-0100
Mailing address
5101 MEDICAL DR, SAN ANTONIO, TX 78229-4801
(210) 616-0100
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2029973
TX
Other
Enumeration date
03/26/2008
Last updated
03/26/2008
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