Individual
MR. JASON BARRETT ERLANDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1100 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701-1909
(570) 320-7456
Mailing address
332 N MONTOUR ST, MONTOURSVILLE, PA 17754-1832
(570) 368-2518
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003172
PA
Other
Enumeration date
12/07/2006
Last updated
07/08/2007
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