Individual
MR. JASON BEARDSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3206 NW 48TH PL, GAINESVILLE, FL 32605-1170
(352) 331-6280
Mailing address
3206 NW 48TH PL, GAINESVILLE, FL 32605-1170
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA14667
FL
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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