Individual
MR. JASON MICHAEL VEZINA SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
207 F ST NE, WASHINGTON, DC 20002-4928
(202) 256-4188
Mailing address
207 N STREET NORTH EAST, WASHINGTON, DC 20002-4928
(202) 256-4188
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2306602009
VA
Other
Enumeration date
08/25/2007
Last updated
09/05/2008
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