Individual
MR. JASON WIND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPTA19899
Contact information
Practice address
2953 SHANNON CIR, PALM HARBOR, FL 34684-1878
(352) 514-4833
Mailing address
2953 SHANNON CIR, PALM HARBOR, FL 34684-1878
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
LPTA19899
FL
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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