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1548212566
JONATHAN WADE ERHARDT
SCAPPOOSE, OR
NPI
1548212566
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 3420)
Enumeration Date
2006-05-17
Last Update Date
2017-01-24
Business Address
-- JONATHAN WADE ERHARDT P.T.
51385 SW OLD PORTLAND RD
SCAPPOOSE, OR 97056-4061
Phone number: 503-543-7768
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Mailing Address
-- JONATHAN WADE ERHARDT P.T.
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2223
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