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Individual

MR. JASON ROLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
900 N DIXIE FWY, NEW SMYRNA BEACH, FL 32168-6220
(386) 426-7885
Mailing address
1433 ELIZABETH ST, NEW SMYRNA BEACH, FL 32168-8609
(386) 547-3488

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA25984
FL

Other

Enumeration date
06/01/2017
Last updated
06/01/2017
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