Jason D Grush, PTA

NPI #1073818530 in University Park, Florida

Provider Information

NPI Number: 1073818530
Entity Type: Individual
Name: Jason D Grush, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jan 13, 2011
Last Updated: Jan 13, 2011

Practice Location

Address: 7591 PLANTATION CIR
City: University Park
State: Florida
ZIP Code: 34201-2065
Phone: (941) 504-9760

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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