Individual
JASON J KOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3002 ESSEX RD, TINTON FALLS, NJ 07753-7758
(732) 643-2000
(732) 643-2056
Mailing address
4502 NORMA PL, TOMS RIVER, NJ 08755-1097
(732) 367-1408
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00177400
NJ
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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