Individual provider · Type 1 NPI

Robert Wayne Long Iii, P.T.A.

Physical Therapy Assistant · Peru, IN

NPI number 1073998571 Active

Practice location

275 W 12th St
Peru, IN 46970-1638

Call (765) 472-8000 Map

Mailing address

1452 Strawtown Pike
Peru, IN 46970-2775

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X06005129A (IN)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1073998571

Robert Wayne Long Iii, P.T.A.'s National Provider Identifier is 1073998571, issued on Jul 25, 2015. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Peru, IN. The record was last updated on Jul 25, 2015.