JESSE LONG

MISSOULA, MT
NPI1235877283
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MT  PTP-PT-LIC-24306)
Enumeration Date2022-05-20
Last Update Date2022-08-05
Business Address
JESSE LONG DPT
2360 MULLAN RD STE C
MISSOULA, MT 59808-1811
Phone number: 406-542-4702
Mailing Address
JESSE LONG DPT
1305 E BROADWAY ST APT 103C1
MISSOULA, MT 59802-4943
Phone number:
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