Individual
JONATHAN K ONEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
191 SWANSON AVE #102, LAKE HAVASU CITY, AZ 86403-6699
(928) 855-7880
Mailing address
191 SWANSON AVE #102, LAKE HAVASU CITY, AZ 86403
(928) 855-7880
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
32959
AZ
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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