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Individual

ROSA LEE DELONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.P.T.

Contact information

Practice address
2135 ARGILLITE RD, SUITE K, FLATWOODS, KY 41139-1629
(606) 388-2470
Mailing address
2135 ARGILLITE RD, SUITE K, FLATWOODS, KY 41139-1629
(606) 388-2470

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
002560
WV
225100000X
Physical Therapist
Primary
005050
KY
225100000X
Physical Therapist
011414
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2663256
OH
05
3810008114
WV
05
7100010080
KY
Enumeration date
03/29/2006
Last updated
01/26/2015
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