Individual
JASON MCCANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
42 NICHOLS ST, REHOBOTH, MA 02769-2254
(508) 965-9337
Mailing address
PO BOX 9792, FALL RIVER, MA 02720
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8751
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
674584165
AGENTRA
MA
Enumeration date
01/31/2019
Last updated
01/31/2019
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