Individual
NIKKI DELONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
840 LEE RD, FOLLANSBEE, WV 26037-1783
(304) 527-1100
Mailing address
163 VIRDEN HEIGHTS DR, NEW CUMBERLAND, WV 26047-3138
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001227
WV
225200000X
Physical Therapy Assistant
05008
OH
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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