Individual
HALEY LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1162 FORT MILL HWY, FORT MILL, SC 29707-7697
(740) 644-9893
Mailing address
1162 FORT MILL HWY, FORT MILL, SC 29707-7697
(740) 644-9893
(770) 505-3595
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012746
GA
Other
Enumeration date
01/13/2017
Last updated
04/23/2019
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