Jason Lansdale

NPI #1336753011 in Wynne, Arkansas

Provider Information

NPI Number: 1336753011
Entity Type: Individual
Name: Jason Lansdale
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Sep 1, 2020
Last Updated: Sep 1, 2020

Practice Location

Address: 615 CANAL AVE E
City: Wynne
State: Arkansas
ZIP Code: 72396-3003
Phone: (870) 238-2233

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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