Individual
JONATHAN LEE PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1021 N ELLSWORTH RD STE 102, MESA, AZ 85207-5145
(480) 319-8101
(602) 731-5746
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2479
ID
225100000X
Physical Therapist
PT60013048
WA
Other
Enumeration date
06/26/2008
Last updated
02/01/2023
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