Individual
JOHNATHAN OXFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
208 HEALTH CARE DR, PENNINGTON GAP, VA 24277-2854
(276) 546-2566
Mailing address
281 MOUNTAIN ASH DRIVE, DRYDEN, VA 24243
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306604344
VA
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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