Individual
JONATHAN LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, ATC, CSCS
Contact information
Practice address
1925 GIANTS DR, EAST RUTHERFORD, NJ 07073-2140
(206) 697-2545
Mailing address
32-3 LILAC DR., ROCHESTER, NY 14620
(206) 697-2545
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
40QA01530200
NJ
2255A2300X
Athletic Trainer
002321-1
NY
2255A2300X
Athletic Trainer
Primary
25MT00184700
NJ
Other
Enumeration date
03/24/2013
Last updated
04/16/2014
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