Jason Holcomb

NPI #1265892053 in Bloomfield, Missouri

Provider Information

NPI Number: 1265892053
Entity Type: Individual
Name: Jason Holcomb
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Mar 7, 2016
Last Updated: Mar 7, 2016

Practice Location

Address: 709 N PRAIRIE ST
City: Bloomfield
State: Missouri
ZIP Code: 63825-0073
Phone: (573) 614-2393

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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