Jonathan Carlson, PT, DPT

NPI #1245022516 in Tyler, Texas

Provider Information

NPI Number
1245022516
Entity Type
Individual
Name
Jonathan Carlson, PT, DPT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapist
Credential
PT, DPT
Enumeration Date
May 21, 2025
Last Updated
May 21, 2025

Practice Location

Address
4025 S BROADWAY AVE
City
Tyler
State
Texas
ZIP Code
75701-8727
Phone
(903) 561-2690

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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