Jason J Koller, PTA

NPI #1164644407 in Tinton Falls, New Jersey

Provider Information

NPI Number
1164644407
Entity Type
Individual
Name
Jason J Koller, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
May 3, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
3002 ESSEX RD
ZIP Code
07753-7758
Phone
(732) 643-2000

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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