Individual
MR. JASON CHRIS KUIPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1402 BOCA TEEKA DR, VALPARAISO, IN 46383-4489
(219) 462-1621
Mailing address
1402 BOCA TEEKA DR, VALPARAISO, IN 46383-4489
(219) 462-1621
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06002289A
IN
Other
Enumeration date
05/17/2010
Last updated
05/17/2010
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