Individual
JOSHUA KONTUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1312 W ARCH HAVEN AVE, BUILDING 1320 SUITE E, BLOOMINGTON, IN 47403-2089
(812) 336-8406
(812) 336-8342
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016371
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT016371
OHIO OTPTAT BOARD
OH
Enumeration date
06/27/2016
Last updated
05/09/2017
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