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Individual

JASON F HEISLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
2965 20TH ST, VERO BEACH, FL 32960-3097
(772) 567-8585
Mailing address
5305 STATELY OAKS ST, FORT PIERCE, FL 34981-3406
(772) 215-2198

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PT19747
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PT19747
PHYSICAL THERAPIST ASSISTANT
FL
Enumeration date
12/07/2009
Last updated
12/07/2009
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