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NPI Code Detail

MEDICARE: JILL ELIZABETH DELGADO

MEDICARE:   JILL ELIZABETH DELGADO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant03521OH

General Provider Information

NPI Number : 1699361584
Entity Type Code : Individual
Provider Name (Legal Business Name) : JILL ELIZABETH DELGADO
Provider Business Mailing Address
First Line : 7505 NEWKIRK DR
Second Line :
City : FAIRFIELD TWP
State : OH
Zip : 45011-9015
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7505 NEWKIRK DR
Second Line :
City : FAIRFIELD TWP
State : OH
Zip : 45011-9015
Country : US
Telephone Number : 513-578-0032
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2020
Last Update Date : 12/15/2020

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Directions to “ JILL ELIZABETH DELGADO ” Practice Location

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