JODIE N LONG

WICHITA, KS
NPI1265908792
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: KS  1403196)
Enumeration Date2018-10-23
Last Update Date2018-10-23
Business Address
JODIE N LONG PTA
3730 N RIDGE RD STE 500
WICHITA, KS 67205-1233
Phone number: 316-440-4901
Mailing Address
JODIE N LONG PTA
200 W DOUGLAS AVE STE 1040
WICHITA, KS 67202-3017
Phone number: 316-263-0003