Individual
JONATHAN MCBAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 OSBORN BLVD, SAULT SAINTE MARIE, MI 49783-1822
(906) 635-4460
Mailing address
1502 PARK ST, SAULT SAINTE MARIE, MI 49783-2849
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501020153
MI
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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