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Jason Booker, PT

Physical Therapist in Warrenton, VA. Individual provider (NPI-1).

NPI number1639618549
StatusActive
Last updated in NPPESFeb 22, 2021

Details

NPI
1639618549
Entity type
Individual (NPI-1)
Name
Jason Booker
Credential
PT
Sex
Male
Sole proprietor
No
Enumeration date
Feb 13, 2017
Certification date
Feb 22, 2021
Last updated
Feb 22, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist2305210841VAYes

Practice location

251 W Lee Hwy Ste 193
Warrenton, VA 20186-2047

Phone 540-466-3883 · Fax 540-739-7474

Mailing address

350 New Fidelity Ct
Garner, NC 27529-2665

Phone 919-756-3107 · Fax 919-535-3271

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