Individual
JASON FAILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
2301 RAINBOW DR, GADSDEN, AL 35901-5517
(256) 543-3467
Mailing address
10225 COUNTY HIGHWAY 24, ONEONTA, AL 35121-7969
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA9121
AL
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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