Long, Matt
Long, Matt is an individual health care provider with primary practice located at 1120 35Th Ave N , Saint Petersburg FL 33704-1853. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Long, Matt can be contacted via phone (813) 508-3627.Contact Information
Primary practice address
1120 35Th Ave N
Saint Petersburg FL 33704-1853
Phone: (813) 508-3627
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | PTA21300 | Florida |
Profile Details
| NPI number | 1346572534 |
|---|---|
| LBN Legal business name | Long, Matt |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 12th, 2010 |
| Last updated | Feb 12th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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