Long, Wanita L
Long, Wanita L is an individual health care provider with primary practice located at 100 Mount Allen Dr , Mechanicsburg PA 17055-6171. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Long, Wanita L can be contacted via phone (717) 697-4666.Contact Information
Primary practice address
100 Mount Allen Dr
Mechanicsburg PA 17055-6171
Phone: (717) 697-4666
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | TE1002876 | Pennsylvania |
Profile Details
| NPI number | 1235645573 |
|---|---|
| LBN Legal business name | Long, Wanita L |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2017 |
| Last updated | Dec 22nd, 2017 - about 9 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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