Jonah Michael Hallahan, DPT
Physical Therapist in Jacksonville, FL. Individual provider (NPI-1).
NPI number1417536137
StatusActive
Last updated in NPPESApr 8, 2021
Details
- NPI
- 1417536137
- Entity type
- Individual (NPI-1)
- Name
- Jonah Michael Hallahan
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 8, 2021
- Certification date
- Apr 8, 2021
- Last updated
- Apr 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT35874 | FL | Yes |
Practice location
5939 Roosevelt BlvdJacksonville, FL 32244-2356
Phone 561-201-2065
Mailing address
9800 Touchton Rd Apt 1114Jacksonville, FL 32246-8293
Phone 561-201-2065
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