JACK LONG

WALTHAM, MA
NPI1861918534
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MA  23177)
Enumeration Date2017-08-15
Last Update Date2022-01-25
Business Address
JACK LONG DPT
425 WAVERLEY OAKS RD
WALTHAM, MA 02452-8448
Phone number: 781-373-3620
Mailing Address
JACK LONG DPT
10 LIBERTY SQ BSMT 1
BOSTON, MA 02109-5814
Phone number: 617-536-1161
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