Individual
DR. JONATHAN ROBERT VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
123 N CENTENNIAL WAY STE 150, MESA, AZ 85201-6689
(480) 687-8051
(480) 546-3731
Mailing address
123 N CENTENNIAL WAY STE 150, MESA, AZ 85201-6689
(480) 687-8051
(480) 546-3731
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9010
AZ
2251G0304X
Geriatric Physical Therapist
LPT-00009010
AZ
2251X0800X
Orthopedic Physical Therapist
LPT-00009010
AZ
Other
Enumeration date
07/27/2010
Last updated
11/11/2025
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