Individual
MR. JON A WINGATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
100 W PENN AVE, ROBESONIA, PA 19551-1504
(610) 693-6184
Mailing address
100 W PENN AVE, ROBESONIA, PA 19551-1504
(610) 693-6184
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE002308L
PA
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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