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Individual

DR. JASON THAD STRACKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
959 E WALNUT ST STE 240, PASADENA, CA 91106-1451
(626) 795-2390
(626) 795-2391
Mailing address
1421 N WANDA RD, # 120-V4, ORANGE, CA 92867-5343
(714) 514-1799

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT 29614
CA

Other

Enumeration date
10/03/2006
Last updated
02/23/2019
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