Individual
JASON WELCHANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
303 GEORGE ST STE 104, NEW BRUNSWICK, NJ 08901-2009
(732) 712-2919
Mailing address
576 BROADHOLLOW RD, MELVILLE, NY 11747-5002
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00419200
NJ
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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