JACOB LONG

VIRGINIA BEACH, VA
NPI1134856826
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2022-08-03
Last Update Date2022-08-03
Business Address
JACOB LONG DPT
5301 PROVIDENCE RD STE 80&90
VIRGINIA BEACH, VA 23464-4128
Phone number: 757-467-4604
Mailing Address
JACOB LONG DPT
PO BOX 412307
BOSTON, MA 02241-2307
Phone number: 888-830-4125
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