Individual
JASON RICHARD PELTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
301 OCEAN VIEW BLVD, LEWES, DE 19958-1269
(302) 645-4664
Mailing address
31780 SIHAM RD, LEWES, DE 19958-2028
(302) 864-4324
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
J2-0001185
DE
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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