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Individual

DR. JONATHAN MICHAEL ELBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.T.

Contact information

Practice address
80629 DECLARATION AVE, INDIO, CA 92201-1876
(515) 341-9738
Mailing address
36101 BOB HOPE DR, SUITE A-1, RANCHO MIRAGE, CA 92270-2001
(515) 341-9738

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1194262
TX
225100000X
Physical Therapist
PTH5836
AL
2251X0800X
Orthopedic Physical Therapist
Primary
39517
CA

Other

Enumeration date
01/29/2010
Last updated
08/11/2016
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