Individual
JASON ANTHONY MARTINS LA ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2944 BROADWAY, REDWOOD CITY, CA 94062-1510
(650) 261-0330
Mailing address
914 BARD ST, SAN JOSE, CA 95127-1102
(408) 687-5041
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT291895
CA
Other
Enumeration date
08/21/2016
Last updated
08/21/2016
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