Individual
JASON THOMAS AMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3205 DEANS BRIDGE RD, AUGUSTA, GA 30906-4208
(762) 222-1123
Mailing address
3205 DEANS BRIDGE RD, AUGUSTA, GA 30906-4208
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003126
GA
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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