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