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Individual
JONATHAN DAVID MELTZER
Active
Individual
JONATHAN DAVID MELTZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT39294
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT39294A
CA39294
CA
Enumeration date
08/16/2012
Last updated
08/16/2012
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