MR. Jason Thomas Legere, PT

NPI #1083770572 in Providence, Rhode Island

Provider Information

NPI Number: 1083770572
Entity Type: Individual
Name: MR. Jason Thomas Legere, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Dec 29, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 593 EDDY ST
City: Providence
State: Rhode Island
ZIP Code: 02903-4923
Phone: (401) 444-8661

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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