JASON EDWARD BORN

LYNDON, KY
NPI1245557529
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06001784A)
Enumeration Date2010-04-27
Last Update Date2011-08-04
Business Address
-- JASON EDWARD BORN PTA
1101 LYNDON LN
LYNDON, KY 40222-4317
Phone number: 502-425-0331
Mailing Address
-- JASON EDWARD BORN PTA
1101 LYNDON LN
LYNDON, KY 40222-4317
Phone number: