Individual
JASON MARVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
429 F ST, DAVIS, CA 95616-4150
(916) 952-5911
Mailing address
1375 COOLIDGE PL, WOODLAND, CA 95776-6734
Taxonomy
Speciality
Code
Description
License number
State
2251H1300X
Human Factors Physical Therapist
Primary
25977
CA
Other
Enumeration date
02/04/2013
Last updated
02/04/2013
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