Individual
MR. JONATHON WILLIAM KOVERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
715 CASE AVE, SAINT PAUL, MN 55106-3703
(507) 421-1770
Mailing address
715 CASE AVE, SAINT PAUL, MN 55106-3703
(507) 421-1770
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5501013584
MI
225100000X
Physical Therapist
Primary
7658
MN
Other
Enumeration date
03/09/2009
Last updated
03/09/2009
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