Individual
MS. JILL CHRISTINE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T., A.T.C.
Contact information
Practice address
1550 W 5TH AVE, COLUMBUS, OH 43212-2495
(614) 488-7929
(614) 488-5792
Mailing address
1550 W 5TH AVE, COLUMBUS, OH 43212-2495
(614) 488-7929
(614) 488-5792
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-818
OH
Other
Enumeration date
09/08/2008
Last updated
09/08/2008
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