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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 15 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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