Individual
JONATHAN BRADLEY HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
16 E WOOD AVE, JACKSON, OH 45640-1238
(740) 577-8353
Mailing address
PO BOX 55, MC ARTHUR, OH 45651-0055
(740) 577-8353
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5697
OH
Other
Enumeration date
10/21/2010
Last updated
10/21/2010
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