Individual
JENNIFER E LONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
425 W 5TH ST, EAST LIVERPOOL, OH 43920-2405
(330) 386-2054
(330) 386-2679
Mailing address
425 W 5TH ST, EAST LIVERPOOL, OH 43920-2405
(330) 386-2054
(330) 386-2679
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
013257
OH
225100000X
Physical Therapist
Primary
PT013257
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2577162
—
OH
Enumeration date
06/27/2011
Last updated
09/27/2023
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