Individual
JONATHAN PAUL GERALDS
Active
Individual
JONATHAN PAUL GERALDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1283349
TX
225100000X
Physical Therapist
60342
OR
225100000X
Physical Therapist
Primary
CP-CP029548T
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
TX
Enumeration date
09/11/2013
Last updated
03/25/2024
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