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JASON LEE PAGE
>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1104320373
Individual Registrant: JASON LEE PAGE
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
18700 US HIGHWAY 90 ROBERTSDALE, AL 36567-3271 US
Tel: 251-947-1911 Fax: --
Tel: 251-947-1911 Fax: --
Contact information for business:
723 CANDLESTICK PL PENSACOLA, FL 32514-8501 US
Tel: 850-501-4155 Fax: --
Tel: 850-501-4155 Fax: --
Registration Information:
NPI: 1104320373
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225200000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapy Assistant | AL | PTA8262 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
