Individual
DENICE JASPHER LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5003 PARKWOOD DR, KILLEEN, TX 76542-4326
(216) 370-0016
Mailing address
200 PUTNAM ST STE 800, MARIETTA, OH 45750-3013
(614) 340-7587
(614) 340-7588
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1214949
TX
225100000X
Physical Therapist
PT014381
OH
Other
Enumeration date
10/01/2018
Last updated
08/19/2019
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