Individual
JONATHAN D.V. SANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3740 EDISON LAKES PKWY, MISHAWAKA, IN 46545-3448
(574) 252-4150
(574) 252-4159
Mailing address
3740 EDISON LAKES PKWY, MISHAWAKA, IN 46545-3448
(574) 252-4150
(574) 252-4159
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501015777
MI
Other
Enumeration date
07/29/2016
Last updated
11/15/2016
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