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1104651017
BRYANNE LONG
COLUMBIA, SC
NPI
1104651017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 12510)
Enumeration Date
2024-09-03
Last Update Date
2024-09-03
Business Address
BRYANNE LONG DPT
130 FORUM DR STE 13
COLUMBIA, SC 29229-7943
Phone number: 803-509-6880
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Mailing Address
BRYANNE LONG DPT
1200 CORPORATE DR STE 400
HOOVER, AL 35242-5424
Phone number: 423-702-4389
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