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1215408802
JASON JEFFREY CARTER
FRANKFORT, IL
NPI
1215408802
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160008239)
Enumeration Date
2018-12-08
Last Update Date
2022-11-28
Business Address
Mr. JASON JEFFREY CARTER PTA
21000 S FRANKFORT SQUARE RD STE D
FRANKFORT, IL 60423-9386
Phone number: 815-469-1500
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Mailing Address
Mr. JASON JEFFREY CARTER PTA
304 N LOOMIS ST
CHICAGO, IL 60607-1147
Phone number: 312-243-8487
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