Individual
DR. MATTHEW ADAM LONGFELLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1195 CHESAPEAKE AVE, COLUMBUS, OH 43212-2238
(614) 342-0027
Mailing address
1195 CHESAPEAKE AVE, COLUMBUS, OH 43212-2238
(614) 342-0027
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT015321
OH
Other
Enumeration date
12/31/2018
Last updated
12/31/2018
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