Individual
MR. JASON A. MAHNKE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.A., A.T.,C.
Contact information
Practice address
4001 26TH ST, VERO BEACH, FL 32960-1930
(702) 497-8057
(323) 843-9921
Mailing address
1000 ELYSIAN PARK AVE, LOS ANGELES, CA 90012-1112
(702) 497-8057
(323) 843-9921
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
AL627
FL
Other
Enumeration date
12/16/2005
Last updated
07/08/2007
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