Individual
JASON SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5959 BIG TREE RD STE 108, ORCHARD PARK, NY 14127-2291
(716) 204-3200
Mailing address
3058 LYTH RD, BUFFALO, NY 14218-3752
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
26627
FL
Other
Enumeration date
08/04/2016
Last updated
08/04/2016
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