Individual
JASON TOMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2320 E BELTLINE AVE SE, GRAND RAPIDS, MI 49546-5906
(616) 831-8666
Mailing address
2320 E BELTLINE AVE SE, GRAND RAPIDS, MI 49546-5906
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5502005043
MI
Other
Enumeration date
11/28/2018
Last updated
11/28/2018
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