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Individual

MR. JASON MATTHEW DENTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT, MS, CSCS

Contact information

Practice address
103 CANOY LN, SUITE 103, CLEMSON, SC 29631-3153
(888) 603-9235
(800) 305-7112
Mailing address
103 CANOY LN, SUITE 103, CLEMSON, SC 29631-3153
(888) 603-9235
(800) 305-7112

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5402
SC

Other

Enumeration date
07/06/2009
Last updated
07/06/2009
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