Jason Matthew Smith, PTA

NPI #1447536883 in La Quinta, California

Provider Information

NPI Number: 1447536883
Entity Type: Individual
Name: Jason Matthew Smith, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Oct 31, 2011
Last Updated: Oct 31, 2011

Practice Location

Address: 47647 CALEO BAY DR STE 130
City: La Quinta
State: California
ZIP Code: 92253-8857
Phone: (760) 771-9054

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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