Individual
MRS. JILL DELONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
450 PHILADELPHIA AVE, SHILLINGTON, PA 19607-2731
(610) 769-1600
(610) 769-8730
Mailing address
450 PHILADELPHIA AVE, SHILLINGTON, PA 19607-2731
(610) 769-1600
(610) 769-8730
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OP006758
PA
Other
Enumeration date
08/18/2009
Last updated
08/18/2009
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