Individual
JASON ROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
6710 MALLERY DR, LANHAM, MD 20706-3964
(301) 552-2000
Mailing address
6710 MALLERY DR, LANHAM, MD 20706-3964
(301) 552-2000
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2306603085
VA
225200000X
Physical Therapy Assistant
Primary
A5274
MD
Other
Enumeration date
05/18/2016
Last updated
10/01/2025
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