Individual
MR. JASON ALLEN KIRKLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2993 SUNSET BLVD, WEST COLUMBIA, SC 29169-3421
(803) 939-0026
Mailing address
2993 SUNSET BLVD, WEST COLUMBIA, SC 29169-3421
(803) 939-0026
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3523
SC
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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