Individual
JASON HARGRAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CSCS
Contact information
Practice address
7200 WYOMING SPGS STE 400, ROUND ROCK, TX 78681-4304
(512) 255-6334
(512) 255-6962
Mailing address
13327 VILLA PARK DR, AUSTIN, TX 78729-3733
(917) 756-7801
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
032242-1
NY
Other
Enumeration date
01/15/2010
Last updated
03/29/2012
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