Individual
JORDYN BROOKE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1801 PARKVIEW DR, EL RENO, OK 73036-2103
(405) 295-1475
Mailing address
317 COLTON WAY, ADA, OK 74820-4843
(580) 235-1612
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6692
OK
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
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