BRANDY LONG

ST PETERSBURG, FL
NPI1326267428
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  pta19180)
Enumeration Date2007-04-25
Last Update Date2015-04-29
Business Address
-- BRANDY LONG PTA
3456 21ST AVE S
ST PETERSBURG, FL 33711-3213
Phone number: 727-512-0255
Mailing Address
-- BRANDY LONG PTA
1120 35TH AVE N
ST PETERSBURG, FL 33704-1853
Phone number: 727-512-0255
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