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1578346839
JOHNATHON O
BRADENTON, FL
NPI
1578346839
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL 40552)
Enumeration Date
2023-08-18
Last Update Date
2023-08-18
Business Address
JOHNATHON O DPT
1300 59TH ST W
BRADENTON, FL 34209-4603
Phone number: 941-216-1455
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Mailing Address
JOHNATHON O DPT
10432 SHADY PRESERVE DR
RIVERVIEW, FL 33578-7678
Phone number: 904-214-5752
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