Individual
JASEN E BRISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
843 DURHAM RD STE 110, WAKE FOREST, NC 27587-8793
(919) 570-7080
(919) 570-7081
Mailing address
843 DURHAM RD STE 110, WAKE FOREST, NC 27587-8793
(919) 570-7080
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P10717
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10717
NC PHYSICAL THERAPY LICENSE
NC
Enumeration date
02/01/2011
Last updated
10/29/2025
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