Provider Demographics
NPI:1528239423
Name:SYLVAIN, JONATHAN M (MPT)
Entity type:Individual
Prefix:MR
First Name:JONATHAN
Middle Name:M
Last Name:SYLVAIN
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5213 S ALSTON AVE
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-4430
Mailing Address - Country:US
Mailing Address - Phone:919-620-4917
Mailing Address - Fax:919-620-4921
Practice Address - Street 1:162 LEGACY OAKS DR
Practice Address - Street 2:ROOM 1221A
Practice Address - City:KNIGHTDALE
Practice Address - State:NC
Practice Address - Zip Code:27545-6556
Practice Address - Country:US
Practice Address - Phone:919-232-5205
Practice Address - Fax:919-373-1830
Is Sole Proprietor?:No
Enumeration Date:2008-03-19
Last Update Date:2012-04-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT008288225100000X
NC13322225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist