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1326267428
BRANDY LONG
ST PETERSBURG, FL
NPI
1326267428
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA19180)
Enumeration Date
2007-04-25
Last Update Date
2015-04-29
Business Address
BRANDY LONG PTA
3456 21ST AVE S
ST PETERSBURG, FL 33711-3213
Phone number: 727-512-0255
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Mailing Address
BRANDY LONG PTA
1120 35TH AVE N
ST PETERSBURG, FL 33704-1853
Phone number: 727-512-0255
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