Jason Rico Perigen, PTA

NPI #1093992315 in Bozeman, Montana

Provider Information

NPI Number: 1093992315
Entity Type: Individual
Name: Jason Rico Perigen, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jan 29, 2008
Last Updated: Jan 29, 2008

Practice Location

Address: 1221 DURSTON RD W
City: Bozeman
State: Montana
ZIP Code: 59715
Phone: (406) 582-3300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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