Individual
MR. JASON KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
770 GAUSE BLVD, SUITE F, SLIDELL, LA 70458-2855
(985) 649-9123
(985) 649-9129
Mailing address
770 GAUSE BLVD, SUITE F, SLIDELL, LA 70458-2855
(985) 649-9123
(985) 649-9129
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LA06720
LA
Other
Enumeration date
03/14/2006
Last updated
01/12/2010
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