Individual
JASON POLICARPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA, RN
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
(610) 834-7525
Mailing address
164 PLYMOUTH DR, DEPTFORD, NJ 08096-6890
(856) 686-4849
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE005949L
PA
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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