JONATHAN THOMAS SMALL

COOS BAY, OR
NPI1639518053
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  T 60243)
Enumeration Date2013-06-19
Last Update Date2013-06-19
Business Address
-- JONATHAN THOMAS SMALL DPT
2645 NORTH 17TH ST
COOS BAY, OR 97420
Phone number: 541-266-3658
Mailing Address
-- JONATHAN THOMAS SMALL DPT
1369 CALIFORNIA AVE
COOS BAY, OR 97420-1009
Phone number: 315-794-8530