Individual
JASON ALLEN WEALAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2 GRACEDALE AVE, NAZARETH, PA 18064-8785
(610) 746-1900
Mailing address
1918 RUTH ST, ALLENTOWN, PA 18104-1425
(717) 575-7724
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE009650
PA
Other
Enumeration date
04/03/2013
Last updated
04/03/2013
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