GRANT JASON CARSON

BEND, OR
NPI1972519007
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  5298)
Enumeration Date2006-07-31
Last Update Date2020-01-09
Business Address
Mr. GRANT JASON CARSON PT
19879 5TH STREET
BEND, OR 97703
Phone number: 541-588-2646
Mailing Address
Mr. GRANT JASON CARSON PT
19879 5TH STREET
BEND, OR 97703
Phone number: 541-588-2646
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