SELINA LONG

FORT WAYNE, IN
NPI1205260312
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06004696A)
Enumeration Date2013-08-26
Last Update Date2013-08-26
Business Address
-- SELINA LONG PTA
5152 TRUEMPER WAY APT 5
FORT WAYNE, IN 46835-3268
Phone number: 574-265-3819
Mailing Address
-- SELINA LONG PTA
5152 TRUEMPER WAY APT 5
FORT WAYNE, IN 46835-3268
Phone number: 574-265-3819
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