SAMUEL LONG

MOLINE, IL
NPI1205588472
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2022-01-19
Last Update Date2022-01-19
Business Address
SAMUEL LONG
510 VALLEY VIEW DR
MOLINE, IL 61265-6133
Phone number: 309-797-0866
Mailing Address
SAMUEL LONG
850 43RD AVE STE 100
MOLINE, IL 61265-8401
Phone number: 309-743-2070