EDWARD R LONG

MOUNT PLEASANT, SC
NPI1750901252
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: SC  2081)
Enumeration Date2020-04-24
Last Update Date2020-04-24
Business Address
Mr. EDWARD R LONG PT
1476 LONG GROVE DR STE 1
MOUNT PLEASANT, SC 29464-7571
Phone number: 843-216-3534
Mailing Address
Mr. EDWARD R LONG PT
453 COMMONWEALTH RD
MT PLEASANT, SC 29466-8326
Phone number: 843-568-9306
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