Individual
JASON MAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1305 ALEXANDER ST, CENTRALIA, WA 98531-1305
(360) 736-4080
(360) 807-2140
Mailing address
1305 ALEXANDER ST, CENTRALIA, WA 98531-1305
(360) 736-4080
(360) 807-2140
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
3506292402
UT
225200000X
Physical Therapy Assistant
Primary
P160288364
WA
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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