Individual
MR. JASON RYAN QUATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
9120 W REED ST, MUNCIE, IN 47304-9737
(765) 215-4123
Mailing address
9120 W REED ST, MUNCIE, IN 47304-9737
(765) 215-4123
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06002781A
IN
Other
Enumeration date
11/20/2007
Last updated
11/20/2007
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