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Contact Information

JONATHAN R VANCE, D.P.T.
123 N CENTENNIAL WAY STE 150
MESA, AZ85201-6689
 Phone: 480-687-8051
 Fax: 480-546-3731
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
 

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JONATHAN R VANCE · (Male)

NPI # 1649584004
Status Active
Credentials D.P.T.
Entity Individual
Enumeration date 07/27/2010
Last updated 11/11/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • AZ License # 9010
  • AZ License # LPT-00009010
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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