Individual
JONATHAN ANDRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7736 HIGHWAY 20 W, SUITE 3, HUNTSVILLE, AL 35806-2085
(256) 430-0178
Mailing address
529 SAINT CLAIR DR, NEW MARKET, AL 35761-8140
(256) 859-9203
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3577
LICENSE#
AL
Enumeration date
11/01/2006
Last updated
03/11/2009
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