Individual
DONALD STEPHEN LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
11 N 5 POINTS RD STE 2, WEST CHESTER, PA 19380-4778
(484) 266-0387
Mailing address
60 HARRY STOUDT DR, BERNVILLE, PA 19506-8915
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT011202L
PA
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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