Provider Demographics
NPI:1356364749
Name:PARTIN, JASON T (PT)
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:T
Last Name:PARTIN
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4917 W PARK DR
Mailing Address - Street 2:PHYSICAL THERAPY & HAND CENTER
Mailing Address - City:ZACHARY
Mailing Address - State:LA
Mailing Address - Zip Code:70791-4012
Mailing Address - Country:US
Mailing Address - Phone:225-570-2443
Mailing Address - Fax:225-570-8370
Practice Address - Street 1:4917 W PARK DR
Practice Address - Street 2:PHYSICAL THERAPY & HAND CENTER
Practice Address - City:ZACHARY
Practice Address - State:LA
Practice Address - Zip Code:70791-4012
Practice Address - Country:US
Practice Address - Phone:225-570-2443
Practice Address - Fax:225-570-8370
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2009-02-25
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist