SearchIndiana225200000X

Selina Long, PTA

NPI 1205260312 · on the registry since 2013 · sole proprietor

Practice

Address
5152 Truemper Way
Apt 5
Fort Wayne, IN 46835
Phone
(574) 265-3819

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-08-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana