Jason Cardillo, PTA

NPI #1467072769 in Woodstock, Georgia

Provider Information

NPI Number: 1467072769
Entity Type: Individual
Name: Jason Cardillo, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Apr 16, 2020
Last Updated: Apr 16, 2020

Practice Location

Address: 906 GRIER ST
City: Woodstock
State: Georgia
ZIP Code: 30189-7811
Phone: (770) 402-4592

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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