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JASON LEE PAGE

>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1104320373

Individual Registrant:
 JASON LEE PAGE 
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: --

Contact information for business:
723 CANDLESTICK PL  PENSACOLA, FL 32514-8501 US
Tel: 850-501-4155  Fax: --

Registration Information:
NPI: 1104320373
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
ALPTA8262

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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