Individual
RONALD L LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3455 EDGEWOOD DR, STOW, OH 44224-3942
(440) 724-0416
Mailing address
3455 EDGEWOOD DR, STOW, OH 44224-3942
(440) 724-0416
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.012998
OH
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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