Jonathan Ray Nelson, LPTA
Jonathan Ray Nelson, LPTA is a Physical Therapy Assistant in Rockford, Illinois. Licensed in Illinois. Registered with an NPI since 2019.
- Licensed in
- IL
- In the registry since
- 2019
Practice location Address checks out
1401 E State StRockford, IL 61104-2315
Phone: (779) 696-4595
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence 160008600 (IL) |
|---|
Record details
| NPI number | 1306408885 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LPTA |
| Sole proprietor | No |
| NPI enumerated | July 3, 2019 |
| Last updated in NPPES | July 3, 2019 |
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