Individual
MR. BRAD A JONGEJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4411 SAN MATEO BLVD NE STE 11, ALBUQUERQUE, NM 87109-2011
(515) 217-3907
(505) 348-0063
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(866) 370-8206
(517) 435-3670
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT00010271
WA
225100000X
Physical Therapist
Primary
—
NM
Other
Enumeration date
08/15/2007
Last updated
09/23/2024
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