Individual
ROBERT J LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3800 SHAMROCK DR, CHARLOTTE, NC 28215-3220
(704) 532-5364
Mailing address
3800 SHAMROCK DR, CHARLOTTE, NC 28215-3220
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3718
NC
Other
Enumeration date
03/20/2009
Last updated
03/20/2009
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