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Individual

JONATHAN TAYLOR MCGUFFIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1254 ANDREWS AVE, OZARK, AL 36360-3712
(334) 445-1380
(334) 445-1489
Mailing address
1254 ANDREWS AVE, OZARK, AL 36360-3712
(334) 445-1380
(334) 445-1489

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH8284
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PTH8284
PT LICENSE
AL
Enumeration date
01/09/2017
Last updated
01/09/2017
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