Individual
ELIZABETH LONGENDELPHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
150 FOUNTAINS WAY, BLDG 4, SUITE 2, ST JOHNS, FL 32259
(904) 825-2660
Mailing address
PO BOX 932184, ATLANTA, GA 31193-2184
(856) 678-3484
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT25158
FL
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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