CHARLES A LONG

GWINNER, ND
NPI1285678441
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ND  580)
Enumeration Date2006-06-16
Last Update Date2007-07-08
Business Address
-- CHARLES A LONG PT
11 N MAIN ST
GWINNER, ND 58040-4001
Phone number: 701-678-2244
Mailing Address
-- CHARLES A LONG PT
11 N MAIN ST
GWINNER, ND 58040-4001
Phone number: 701-678-2244