Individual
DR. JONATHAN ROBERT VANCE
Active
Individual
DR. JONATHAN ROBERT VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
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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