Most Relevant Information
Provider Data
| NPI Number: | 1003525957 |
| Provider Name: | ANTOINETTE LONG LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | MSG013531 |
Most Important Dates
| Enumeration Date: | 11/21/2022 |
| Last Updated: | 11/21/2022 |
Provider Practice Location
855 N PARK RD APT C301
WYOMISSING
PA
196101354
Practice Location Phone/Fax
| Phone: | 6107818806 |
| Fax: |
Provider Mailing Location
855 N PARK RD APT C301
WYOMISSING
PA
196101354
Provider Mailing Phone/Fax
| Phone: | 6107818806 |
| Fax: |