Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMUEL LONG
ActiveSAMUEL LONG is a Physical Therapy Assistant healthcare provider located in MOLINE, Illinois. NPI 1205588472 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · MOLINE, IL
Registration Details
- NPI Number
- 1205588472
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 19, 2022 (4.574603417853 yrs)
- Last Updated
- Jan 19, 2022
Practice Information
- Address
-
510 VALLEY VIEW DRMOLINE, IL, 612656133Browse IL providers · Browse ZIP 61265
- Phone
- 3097970866
- Fax
- 3097970872
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in MOLINE, IL
| Name | Credential | NPI |
|---|---|---|
| MARY COCKRELL | PT | 1710972252 |
| NICOLE L NORTON | PT | 1275529232 |
| LESLIE DRENTH | PT | 1235107855 |
| JOSEPH G TERRY | PT | 1639139884 |
| ELIZABETH R SHELLY | PT | 1588624514 |
| ROBERT O ANDERSON | PT | 1689631129 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.