Jonathan Lundahl, DPT | |
460 S Main St # 302, Davidson, NC 28036-8006 | |
(704) 255-6383 | |
Not Available |
Full Name | Jonathan Lundahl |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 460 S Main St # 302, Davidson, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780371930 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Physiofit Physical Therapy And Sports Performance Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1215668751 PECOS PAC ID: 5698142776 Enrollment ID: O20221102001033 |
Mailing Address | Practice Location Address |
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Jonathan Lundahl, DPT 520 W 5th St Apt 506, Charlotte, NC 28202-1861 Ph: () - | Jonathan Lundahl, DPT 460 S Main St # 302, Davidson, NC 28036-8006 Ph: (704) 255-6383 |
Susanna Soroosh, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 235 Hobbs St Unit A, Davidson, NC 28036 Phone: 405-408-9269 | |
Christopher Robert O'connor, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 460 S Main St Ste 302, Davidson, NC 28036 Phone: 919-260-7481 Fax: 719-473-1004 | |
Physiofit Physical Therapy And Sports Performance Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 460 S Main St Ste 302, Davidson, NC 28036 Phone: 919-260-7481 | |
Yordan Ascanio, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 705 Griffith St, Suite 206, Davidson, NC 28036 Phone: 704-894-0166 | |
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Rise Kids Therapy And Wellness, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 710 Northeast Dr Ste 11, Davidson, NC 28036 Phone: 704-275-1245 | |
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