Individual
JASON P SONCRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, SCS, CSCS
Contact information
Practice address
2865 N REYNOLDS RD, TOLEDO, OH 43615-2068
(419) 578-7530
(419) 539-0288
Mailing address
2865 N REYNOLDS RD, TOLEDO, OH 43615-2068
(419) 578-7530
(419) 539-0288
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT07232
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000168697
ANTHEM
—
01
—
290521271005
MMO
—
Enumeration date
06/08/2006
Last updated
12/17/2007
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