Individual
MR. JONATHAN LAWRENCE VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
290 N HIGHWAY 16, DENVER, NC 28037-8011
(704) 483-0777
(704) 483-1883
Mailing address
290 N HIGHWAY 16, DENVER, NC 28037-8011
(704) 483-0777
(704) 483-1883
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5156
NC
Other
Enumeration date
07/17/2013
Last updated
07/17/2013
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