IndividualActive
Judith Long, THERAPIST
NPI 1417097429 · Therapeutic Radiology Physician · Bradner, OH
Provider details
- NPI number
- 1417097429
- Entity type
- Individual
- Primary specialty
- Therapeutic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- THERAPIST
- Sex
- Female
- Sole proprietor
- No
- License
- 238639 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
109 N Evans
Bradner, OH 43406-0212
Phone: (419) 288-3202
Approximate (ZIP-level) locationGet directions
Mailing address
109 N Evans
Bradner, OH 43406-0212
Registry dates
- Enumerated
- 2007-02-07
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.