Individual
MR. JASON JEREMY WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4250 66TH ST N, KENNETH CITY, FL 33709-4918
(727) 546-2405
Mailing address
337 37TH ST S, ST PETERSBURG, FL 33711-1601
(727) 518-4757
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA20342
FL
Other
Enumeration date
02/27/2012
Last updated
02/27/2012
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