Individual
JONATHAN PAUL MAYBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
79962 COUSE CREEK RD, MILTON FREEWATER, OR 97862-7920
(509) 240-2240
Mailing address
79962 COUSE CREEK RD, MILTON FREEWATER, OR 97862-7920
(509) 240-2240
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/27/2009
Last updated
12/29/2015
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