Individual
JASON ERIK BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4200 WASHINGTON ST, HOLLYWOOD, FL 33021-7353
(954) 981-6300
Mailing address
4200 WASHINGTON ST, HOLLYWOOD, FL 33021-7353
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
06/01/2017
Last updated
06/01/2017
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