Individual
JASON BRADLY SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2727 HOLLYCROFT ST STE 310, GIG HARBOR, WA 98335-1312
(253) 514-6757
Mailing address
6050 TACOMA MALL BLVD STE 300, TACOMA, WA 98409-6828
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT61602483
WA
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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