MICHAEL C LONG

GREEN RIVER, WY
NPI1699320606
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WY  PT-1900)
Enumeration Date2019-08-06
Last Update Date2019-08-06
Business Address
Mr. MICHAEL C LONG DPT
330 UPLAND WAY
GREEN RIVER, WY 82935-6401
Phone number: 307-875-4654
Mailing Address
Mr. MICHAEL C LONG DPT
2002 W SUNSET DR STE 1
RIVERTON, WY 82501-2285
Phone number: 307-856-7021
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