Individual
JONATHAN DAVID CUMMINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
600 TORRES DR, WINNSBORO, TX 75494-4743
(903) 440-0062
Mailing address
600 TORRES DR, WINNSBORO, TX 75494-4743
(903) 440-0062
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2135778
TX
Other
Enumeration date
07/28/2018
Last updated
07/28/2018
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