Individual
JONATHAN JANES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4858 TEXAS HIGHWAY 154, COOPER, TX 75432-8104
(903) 348-0261
Mailing address
4858 TEXAS HIGHWAY 154, COOPER, TX 75432-8104
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2118186
TX
Other
Enumeration date
08/12/2018
Last updated
08/12/2018
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