Individual
JASON MAKOUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
20584 GRISTMILL CT, ASHBURN, VA 20147-5122
(703) 955-6996
Mailing address
20584 GRISTMILL CT, ASHBURN, VA 20147-5122
(703) 955-6996
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
17284
MT
225100000X
Physical Therapist
192560
AK
225100000X
Physical Therapist
Primary
2305211936
VA
225100000X
Physical Therapist
LPT-31888
AZ
Other
Enumeration date
11/19/2018
Last updated
04/19/2022
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