JASON HENRY

HANNIBAL, MO
NPI1891088209
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2251G0304X Physical Therapist, Geriatrics
(Licence: WA  PT60201832)
Enumeration Date2011-05-17
Last Update Date2011-05-17
Business Address
-- JASON HENRY
164 LAKE APOLLO DR
HANNIBAL, MO 63401-2308
Phone number: 858-200-5690
Mailing Address
-- JASON HENRY
PO BOX 1222
HANNIBAL, MO 63401-1222
Phone number:
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