Individual
MR. JASON STEPHEN KAVOUNTZIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
87 SUMMIT AVE, HACKENSACK, NJ 07601-1262
(201) 488-7905
(201) 488-7901
Mailing address
87 SUMMIT AVE, HACKENSACK, NJ 07601-1262
(201) 488-7905
(201) 488-7901
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
QA00917200
NJ
Other
Enumeration date
02/19/2009
Last updated
07/28/2009
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