MARY SUSAN LONG

LATROBE, PA
NPI1548869779
Former NameMARY SUSAN GROSS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: PA  PT006507L)
Enumeration Date2020-10-19
Last Update Date2020-10-19
Business Address
MARY SUSAN LONG PT
3960 STATE ROUTE 30
LATROBE, PA 15650-5518
Phone number: 724-532-3422
Mailing Address
MARY SUSAN LONG PT
223 NEVADA LN
LIGONIER, PA 15658-2173
Phone number: 724-972-3979
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