Individual
JILL C CAMPOLONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7591 TYLERS PLACE BLVD, WEST CHESTER, OH 45069-6308
(137) 556-6005
Mailing address
PO BOX 411169, BOSTON, MA 02241-1169
(888) 830-4125
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05009249A
IN
225100000X
Physical Therapist
Primary
PT012157
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0406425
—
OH
Enumeration date
06/25/2007
Last updated
06/24/2022
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