Individual
MARGARET LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,LAT, ATC, PES
Contact information
Practice address
3201 STANLEY ST, APT. C, MORGANTOWN, WV 26508-9267
(219) 810-7935
Mailing address
45 W LAKE ST APT A, KNOX, IN 46534-1430
(219) 810-7935
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/10/2014
Last updated
02/07/2023
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