Individual
MRS. ELLEN SUE LONGJOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
(610) 834-7525
Mailing address
112 BUEHNER DR, PITTSBURGH, PA 15237-2933
(412) 635-9106
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC002526L
PA
Other
Enumeration date
11/04/2008
Last updated
11/04/2008
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