Jason Harvey, PTA

NPI #1215487541 in East Quogue, New York

Provider Information

NPI Number: 1215487541
Entity Type: Individual
Name: Jason Harvey, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Oct 11, 2016
Last Updated: Oct 11, 2016

Practice Location

Address: 143 CHARDONNAY DR
City: East Quogue
State: New York
ZIP Code: 11942-3829
Phone: (631) 278-0665

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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