Individual
JONATHAN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
10 LINK DR, ROCKLEIGH, NJ 07647-2504
(201) 784-1414
Mailing address
52 SPRING VALLEY COMMONS, SPRING VALLEY, NY 10977-4249
(845) 825-7319
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00349600
NJ
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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