Individual
JILL LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
158 GROSS ST, MARIETTA, OH 45750-2031
(740) 374-1422
Mailing address
507 PINECREST DR, BEVERLY, OH 45715-8909
(740) 706-0567
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5081
OH
Other
Enumeration date
07/28/2025
Last updated
07/29/2025
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