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Mitchell Long, PTA
NPI 1790029247 · on the registry since 2012
Practice
- Address
- 328 W Vine St
Edgerton, OH 43517 - Phone
- (419) 298-2321
- Organisation at this address
- Pgn Op Park Llc
Edgerton Long Term Care, Inc.
Park View Operating Company Llc
Park View Operating Company Llc
Park View Operating Company LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-11-22
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 Ohio