Individual
JASON SANGRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
520 S EAGLE RD, MERIDIAN, ID 83642-6351
(208) 381-2222
Mailing address
16590 N YORKSHIRE LN, NAMPA, ID 83687-9464
(208) 870-6926
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA238
ID
Other
Enumeration date
09/03/2016
Last updated
09/03/2016
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