Individual
JASON MATTHEW LEDWAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2300 ABERDEEN BLVD, GASTONIA, NC 28054-0613
(704) 834-4800
Mailing address
4081 CASCADE DR, GASTONIA, NC 28056-8375
(704) 691-1016
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10362
NC
Other
Enumeration date
10/04/2007
Last updated
10/04/2007
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