Individual
MELANIE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 BERK RD, LEESPORT, PA 19533-8705
(610) 376-4841
Mailing address
214 OPAL AVE, READING, PA 19606-1638
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE000920L
PA
Other
Enumeration date
06/24/2009
Last updated
06/24/2009
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