Individual
JONATHON JOSEPH MCGAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
535 N NOVA RD, ORMOND BEACH, FL 32174-4405
(386) 673-1809
Mailing address
535 N NOVA RD, ORMOND BEACH, FL 32174-4405
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
24179
FL
Other
Enumeration date
05/05/2015
Last updated
05/05/2015
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