Individual
JASON DALZELL
Active
Individual
JASON DALZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
NUR-RN-LIC-196938
MT
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
01/04/2016
Last updated
10/04/2022
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