Jason James Vance, PT, DPT, COMT

NPI #1619503265 in Peru, Illinois

Provider Information

NPI Number: 1619503265
Entity Type: Individual
Name: Jason James Vance, PT, DPT, COMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT, COMT
Enumeration Date: Mar 16, 2020
Last Updated: Mar 16, 2020

Practice Location

Address: 1400 MIDTOWN RD
City: Peru
State: Illinois
ZIP Code: 61354-1269
Phone: (815) 223-8600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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