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Individual

JONATHAN SEIDBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
2222 E HIGHLAND AVE, SUITE 200, PHOENIX, AZ 85016-4872
(602) 595-6180
(602) 595-7659
Mailing address
15410 S MOUNTAIN PKWY, SUITE 112, PHOENIX, AZ 85044-6691
(480) 689-5509
(480) 706-7997

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10767
AZ
2251S0007X
Sports Physical Therapist
2251X0800X
Orthopedic Physical Therapist

Other

Enumeration date
03/02/2015
Last updated
03/02/2015
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