Individual
JASON LEE PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18700 US HIGHWAY 90, ROBERTSDALE, AL 36567-3271
(251) 947-1911
Mailing address
723 CANDLESTICK PL, PENSACOLA, FL 32514-8501
(850) 501-4155
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA8262
AL
Other
Enumeration date
03/21/2018
Last updated
03/21/2018
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