Jason Ipo, PT
Physical Therapist in Sarasota, FL. Individual provider (NPI-1).
NPI number1306046560
StatusActive
Last updated in NPPESAug 3, 2023
Details
- NPI
- 1306046560
- Entity type
- Individual (NPI-1)
- Name
- Jason Ipo
- Credential
- PT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 24, 2007
- Certification date
- Aug 3, 2023
- Last updated
- Aug 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT24832 | FL | Yes |
| 171W00000X | Contractor | 05008930A | IN |
Practice location
4426 Bee Ridge RdSarasota, FL 34233-2502
Phone 941-705-8184
Mailing address
4426 Bee Ridge RdSarasota, FL 34233-2502
Phone 941-705-8184
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