Individual
JASON LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3214 E 21ST ST, TULSA, OK 74114-1811
(918) 895-7222
(918) 895-7223
Mailing address
2488 E 81ST ST STE 290, TULSA, OK 74137-4265
(918) 927-3226
(918) 927-3193
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4238
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200253150A
—
OK
Enumeration date
05/18/2009
Last updated
06/18/2025
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