Individual
JASON HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
143 CHARDONNAY DR, EAST QUOGUE, NY 11942-3829
(631) 278-0665
(631) 619-6680
Mailing address
13 HILLSIDE RD, SOUTHBURY, CT 06488-2024
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
CT
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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