Individual
HEATHER LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
151 SUMMIT AVE, SUMMIT, NJ 07901-2813
(908) 598-0228
Mailing address
9 MEADOWBROOK RD, BOONTON TOWNSHIP, NJ 07005-9411
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
NJ40QA01035600
NJ
Other
Enumeration date
03/16/2016
Last updated
03/16/2016
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