Jason P Hantavis, MSPT, CSCS, OCS
NPI #1386788941 in Auburn, Massachusetts
Provider Information
- NPI Number
- 1386788941
- Entity Type
- Individual
- Name
- Jason P Hantavis, MSPT, CSCS, OCS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- MSPT, CSCS, OCS
- Enumeration Date
- Feb 16, 2007
- Last Updated
- Dec 9, 2016
Practice Location
- Address
- 489 WASHINGTON ST
- Address 2
- SUITE 200
- City
- Auburn
- State
- Massachusetts
- ZIP Code
- 01501-5709
- Phone
- (508) 721-0000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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