Individual
JACOB LONOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
3280 HOWELL MILL RD NW STE 303, ATLANTA, GA 30327-4109
(470) 300-6030
Mailing address
33900 HARPER AVE STE 104, CLINTON TWP, MI 48035-4258
(586) 350-2644
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT015491
GA
Other
Enumeration date
03/06/2020
Last updated
08/23/2021
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