Individual
JONATHAN L LOSEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
914 S SCHEUBER RD, CENTRALIA, WA 98531-9027
(360) 736-2803
Mailing address
914 S SCHEUBER RD, CENTRALIA, WA 98531-9027
(360) 736-2803
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT00010238
WA
2081H0002X
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
PT00010238
WA
2081P0004X
Spinal Cord Injury Medicine Physician
PT00010238
WA
2081P0010X
Pediatric Rehabilitation Medicine Physician
PT00010238
WA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
PT00010238
WA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
PT00010238
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8463580
—
WA
Enumeration date
08/15/2007
Last updated
08/15/2007
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