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Individual
JASON WILLIAM FERRIS
Active
Individual
JASON WILLIAM FERRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070019393
IL
390200000X
Student in an Organized Health Care Education/Training Program
096002547
IL
Other
Enumeration date
02/19/2008
Last updated
08/15/2014
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