Individual
MR. JAMES PERCY LONG III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T, M.A., CSCS.
Contact information
Practice address
1730 W. 25TH ST., CLEVELAND, OH 44113-3108
(216) 363-2288
(216) 696-7485
Mailing address
3081 COLERIDGE RD, CLEVELAND HTS, OH 44118-3555
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 002017
OH
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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