Individual
JASON SEAHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2119 E SOUTH BLVD, SUITE 200, MONTGOMERY, AL 36116-2409
(334) 613-9056
Mailing address
680 STABLEWAY RD, PIKE ROAD, AL 36064-2755
(334) 271-0158
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTH4442
LICENSE #
AL
Enumeration date
08/29/2006
Last updated
03/18/2008
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