Individual
JONATHAN PAUL GERALDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
115 OAKDALE DR UNIT 8, HILLSBOROUGH, NC 27278-9080
(919) 732-6600
(919) 732-2779
Mailing address
12508 JONES MALTSBERGER RD, STE 110, SAN ANTONIO, TX 78247-4214
(888) 590-4002
(210) 590-4585
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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