Individual
JONATHAN WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1425 HORSHAM RD, NORTH WALES, PA 19454-1320
(215) 371-3000
Mailing address
25 HAWTHORNE RD, READING, PA 19609-1711
(717) 799-1899
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI005228
PA
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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