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Individual

MADISON LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
1911 CRAIN HWY S, GLEN BURNIE, MD 21061-5573
(443) 960-7442
Mailing address
402 SILVER LEAF CT APT A, GLEN BURNIE, MD 21061-6033

Taxonomy

Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
30767
MD
2251X0800X
Orthopedic Physical Therapist
Primary
30767
MD

Other

Enumeration date
02/10/2026
Last updated
02/10/2026
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