Individual
JONATHAN WOOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
898 SW 4TH AVE, ONTARIO, OR 97914-2627
(541) 881-7330
Mailing address
898 SW 4TH AVE, ONTARIO, OR 97914-2627
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
005239
IA
225100000X
Physical Therapist
Primary
60443
OR
Other
Enumeration date
12/20/2013
Last updated
12/20/2013
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