Individual
JASON D GRUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
7591 PLANTATION CIR, UNIVERSITY PARK, FL 34201-2065
(941) 504-9760
Mailing address
7591 PLANTATION CIR, UNIVERSITY PARK, FL 34201-2065
(941) 504-9760
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 22133
FL
Other
Enumeration date
01/13/2011
Last updated
01/13/2011
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