Individual
JEREMY JASON STOJAKOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
5380 HICKORY HOLLOW PKWY STE 201, ANTIOCH, TN 37013-3389
(615) 891-2070
(615) 891-2056
Mailing address
1015 GRANADA AVE, NASHVILLE, TN 37206-3427
(253) 831-2254
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12537
TN
225100000X
Physical Therapist
PT60863095
WA
Other
Enumeration date
08/28/2018
Last updated
05/28/2020
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