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Individual
MR. JONATHAN ANDREW ANDINO
Active
Individual
MR. JONATHAN ANDREW ANDINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, ATC
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
PT023551
PA
2255A2300X
Athletic Trainer
Primary
RT005800
PA
Other
Enumeration date
12/09/2011
Last updated
10/25/2014
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