Individual
JENNIFER ELIZABETH LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1212 S NAPER BLVD STE 104, NAPERVILLE, IL 60540-8398
(630) 369-2340
(630) 369-2859
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(866) 370-8206
(517) 435-3670
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
056003249
IL
Other
Enumeration date
09/20/2017
Last updated
11/30/2023
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