Individual
JONATHAN PAUL SLATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
6120 STADIUM DR, KALAMAZOO, MI 49009-3022
(269) 372-8555
Mailing address
5836 S 4TH ST, KALAMAZOO, MI 49009-8435
(269) 744-0232
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501014868
MI
Other
Enumeration date
10/26/2009
Last updated
12/11/2018
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