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Individual

MRS. JULIE DAWN LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
429 E VERMONT ST STE 110, INDIANAPOLIS, IN 46202-3685
(317) 559-0969
Mailing address
4674 S STATE ROAD 9, GREENFIELD, IN 46140-9253
(317) 796-5597

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary

Other

Enumeration date
07/07/2025
Last updated
07/07/2025
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