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Individual

KURT ALLEN JAEGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3452 LAKE LYNDA DR, SUITE 200, ORLANDO, FL 32817-1430
(407) 308-3906
(877) 217-9271
Mailing address
3452 LAKE LYNDA DR, SUITE 200, ORLANDO, FL 32817-1430
(407) 308-3906
(877) 217-9271

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
009592-1
NY
225200000X
Physical Therapy Assistant
2107426
TX
225200000X
Physical Therapy Assistant
Primary
48001
CA
225200000X
Physical Therapy Assistant
TE010180
PA

Other

Enumeration date
04/19/2016
Last updated
04/19/2016
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