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Individual

MR. JONATHAN M AHEARN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT, CSCS

Contact information

Practice address
1129 E MARION ST, SHELBY, NC 28150-4843
(704) 471-0001
(770) 471-9990
Mailing address
1129 E MARION ST, SHELBY, NC 28150-4843
(704) 471-0001
(770) 471-9990

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P14205
NC

Other

Enumeration date
05/20/2013
Last updated
05/20/2013
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