JESSICA MARIE LONG

GILLETTE, WY
NPI1811758204
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WY  PTA-1126)
Enumeration Date2024-01-22
Last Update Date2024-01-22
Business Address
JESSICA MARIE LONG PTA
548 RUNNING W DR
GILLETTE, WY 82718-2074
Phone number: 307-670-9444
Mailing Address
JESSICA MARIE LONG PTA
548 RUNNING W DR
GILLETTE, WY 82718-2074
Phone number: 307-670-9444