Doctor Name: | JASON EVERETT RARICH |
NPI Number: | 1003096884 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | PT018843 |
Business Practice Address: | 2804 Audubon Village Dr Eagleville, PA - 194032262 |
Business Phone Number: | 6106760411 |
Business Fax Number: | 6106760412 |
Mailing Address: | 2804 Audubon Village Dr, EAGLEVILLE |
State: | PA |
Postal Code: | 194032262 |
Phone Number: | 6106760411 |
Fax Number: | 6106760412 |
NPI Enumeration Date: | 11/08/2007 |
NPI Last Update Date: | 11/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | PT018843 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |