Individual
JESSICA M. DELONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9414 NE 4TH PLAIN RD, VANCOUVER, WA 98662-6109
(360) 892-5142
(360) 892-2157
Mailing address
PO BOX 820821, VANCOUVER, WA 98682-0019
(360) 771-6065
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00010465
WA
Other
Enumeration date
08/15/2007
Last updated
12/10/2021
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