JASON BENINCASA

BALTIMORE, MD
NPI1740509769
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2251P0200X Physical Therapist, Pediatrics
(Licence: MD  24412)
Additional Taxonomies2251P0200X Physical Therapist, Pediatrics
(Licence: PA  PT 020542)
Enumeration Date2010-06-01
Last Update Date2013-03-20
Business Address
-- JASON BENINCASA PT
707 N BROADWAY
BALTIMORE, MD 21205-1832
Phone number: 443-923-9289
Mailing Address
-- JASON BENINCASA PT
707 N BROADWAY
BALTIMORE, MD 21205-1832
Phone number: 443-923-9289