Individual
DR. JONATHAN D NEWBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
8763 W CORNELL AVE APT 5, LAKEWOOD, CO 80227-4850
(309) 826-3758
Mailing address
8763 W CORNELL AVE APT 5, LAKEWOOD, CO 80227-4850
(309) 826-3758
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
10816
CO
Other
Enumeration date
07/06/2010
Last updated
07/06/2010
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