Individual
MR. JASON LEE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
10857 KUYKENDAHL RD STE 120, THE WOODLANDS, TX 77382-2936
(815) 218-1402
Mailing address
10857 KUYKENDAHL RD STE 120, THE WOODLANDS, TX 77382-2936
(936) 256-3883
(936) 398-6095
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2133563
TX
Other
Enumeration date
02/12/2018
Last updated
03/17/2018
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