Individual
MR. JASON VIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
1200 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-6202
(610) 413-7079
Mailing address
1200 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-6202
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT002337A
PA
Other
Enumeration date
08/15/2005
Last updated
04/02/2016
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