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Jonathan Eidman, DPT

Physical Therapist in Suwanee, GA. Individual provider (NPI-1).

NPI number1487178646
StatusActive
Last updated in NPPESMay 16, 2024

Details

NPI
1487178646
Entity type
Individual (NPI-1)
Name
Jonathan Eidman
Credential
DPT
Sex
Male
Sole proprietor
No
Enumeration date
Jul 31, 2017
Certification date
May 16, 2024
Last updated
May 16, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT013022GAYes
208100000X Physical Medicine & RehabilitationPT013022GA

Practice location

1000 Peachtree Industrial Blvd Ste 5
Suwanee, GA 30024-1977

Phone 678-482-9695

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424

Phone 866-518-0283

Other practice locations

2815 Buford Dr Ste 102
Buford, GA 30519-8151

Phone 770-271-4413

3206 Peach Orchard Rd
Augusta, GA 30906-3540

Phone 706-798-9323 · Fax 706-798-9323

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