Organization
IDE-DON PHYSICAL THERAPY PC
Active
Organization
IDE-DON PHYSICAL THERAPY PC
Active
Other names
Ide-Don Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN IDE-DON PT (CO-OWNER, PRESIDENT)
(925) 286-8545
Entity
Organization
Contact information
Practice address
1041 STUART ST STE A, LAFAYETTE, CA 94549-4044
(925) 286-8545
Mailing address
17 VISTA VIA, LAFAYETTE, CA 94549-4721
(925) 286-8545
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/21/2018
Last updated
06/11/2019
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