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Jonathan Cornet

Physical Therapy Assistant in Orland Park, IL. Individual provider (NPI-1).

NPI number1669890232
StatusActive
Last updated in NPPESApr 1, 2014

Details

NPI
1669890232
Entity type
Individual (NPI-1)
Name
Jonathan Cornet
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 1, 2014
Last updated
Apr 1, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant106.006294ILYes

Practice location

14601 John Humphrey Dr
Orland Park, IL 60462-2641

Phone 708-349-7800

Mailing address

14601 John Humphrey Dr
Orland Park, IL 60462-2641

Phone 708-349-7800

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