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Individual

JONATHAN ANDERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
625 SW RAMSEY AVE STE B, GRANTS PASS, OR 97527-5808
(541) 479-6979
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2025015168
MO
225100000X
Physical Therapist
Primary
63624
OR
225100000X
Physical Therapist
Primary
PT7216
ME
225100000X
Physical Therapist

Other

Enumeration date
03/02/2020
Last updated
04/15/2026
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