Gardunia, Jonathan

Gardunia, Jonathan is an individual health care provider with primary practice located at 13900 W Wainwright Dr , Boise ID 83713-5028. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Gardunia, Jonathan can be contacted via phone (208) 351-9955.

Contact Information

Primary practice address
13900 W Wainwright Dr Boise ID 83713-5028
Phone: (208) 351-9955
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT-2549 Idaho
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 60688 Oregon

Profile Details

NPI number 1366679433
LBN Legal business name Gardunia, Jonathan
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2009
Last updated Nov 20th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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