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Individual
JASON FRACCHIA
Active
Individual
JASON FRACCHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3125994
TEMP PT LICENSE
TX
Enumeration date
01/13/2021
Last updated
01/13/2021
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