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NPI Code Detail

MEDICARE: ARIANNE LONG

MEDICARE: ARIANNE LONG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant06004446AIN

General Provider Information

NPI Number : 1477128783
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARIANNE LONG
Provider Business Mailing Address
First Line : 1332 E OHIO ST APT A
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46202-3773
Country : US
Telephone Number : 219-508-5457
Fax Number :
Provider Business Practice Location Address
First Line : 118 MEDICAL DR
Second Line :
City : CARMEL
State : IN
Zip : 46032-3323
Country : US
Telephone Number : 317-844-4211
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2021
Last Update Date : 05/20/2021

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Directions to “ ARIANNE LONG ” Practice Location

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