Individual
JENNIFER LYNN LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
7158 SCHOCK RD, PALMS, MI 48465-9716
(989) 864-8967
(989) 864-8967
Mailing address
7158 SCHOCK RD, PALMS, MI 48465-9716
(989) 864-8967
(989) 864-8967
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501010270
MI
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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