Lizotte, Jonathan

Lizotte, Jonathan is an individual health care provider with primary practice located at 721 Reservoir Ave , Cranston RI 02910-4430. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant is his primary health care specialty. Lizotte, Jonathan can be contacted via phone (401) 946-4250.

Contact Information

Primary practice address
721 Reservoir Ave Cranston RI 02910-4430
Phone: (401) 946-4250
Fax: (401) 275-5645
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA00318 Rhode Island
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MT00964 Rhode Island

Profile Details

NPI number 1063466308
LBN Legal business name Lizotte, Jonathan
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063466308 NPPES
Rhode Island Other MT00964 MASSAGE THERAPY LICENSE
Rhode Island Other PTA00318 MASSAGE THERAPY LICENSE

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