Individual
MICHELLE MARTHA DELONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
40 S DUNDALK AVE, SUITE G-3, DUNDALK, MD 21222-4267
(410) 285-0173
Mailing address
11 KATHSWAY CT, PARKVILLE, MD 21234-1449
(443) 854-4718
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2086
MD
Other
Enumeration date
08/20/2010
Last updated
04/03/2014
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