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1235645573
WANITA L LONG
MECHANICSBURG, PA
NPI
1235645573
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: PA TE1002876)
Enumeration Date
2017-12-22
Last Update Date
2017-12-22
Business Address
WANITA L LONG PTA
100 MOUNT ALLEN DR
MECHANICSBURG, PA 17055-6171
Phone number: 717-697-4666
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Mailing Address
WANITA L LONG PTA
481 GARRISTON RD
YORK HAVEN, PA 17370-9519
Phone number: 717-418-2359
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