JACOB GLENN LONG

CORAL SPRINGS, FL
NPI1407269160
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MS  PT5387)
Additional Taxonomies225100000X Physical Therapist
(Licence: NC  P14764)
Enumeration Date2014-06-10
Last Update Date2021-06-16
Business Address
Dr. JACOB GLENN LONG DPT
5830 CORAL RIDGE DR STE 120
CORAL SPRINGS, FL 33076-3388
Phone number: 866-425-5768
Mailing Address
Dr. JACOB GLENN LONG DPT
1350 E WOODROW WILSON AVE
JACKSON, MS 39216-5112
Phone number: 601-981-2611