Individual
MR. JONATHAN LOZANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
870 GOLD HILL RD, SUITE 103, FORT MILL, SC 29708-8985
(803) 835-6000
Mailing address
2916 ARCHDALE DR, CHARLOTTE, NC 28210-4608
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
16199
NC
225100000X
Physical Therapist
29004
FL
225100000X
Physical Therapist
Primary
8253
SC
Other
Enumeration date
04/15/2014
Last updated
09/01/2016
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