Individual
GARRETT LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9300 LAKEVIEW PKWY, ROWLETT, TX 75088-4476
(972) 475-4700
Mailing address
7202 MONTEGO DR, ROWLETT, TX 75089-3527
(469) 363-6829
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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