Doctor Name: | MR. JASON MATTHEW CAIN |
NPI Number: | 1164562260 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | PT008960 |
Business Practice Address: | 15245 Shady Grove Rd Suite C-100, North Lobby Rockville, MD - 208503222 |
Business Phone Number: | 3014172652 |
Business Fax Number: | 3014172653 |
Mailing Address: | 15245 Shady Grove Rd, Suite C-100, North Lobby ROCKVILLE |
State: | MD |
Postal Code: | 208503222 |
Phone Number: | 3014172652 |
Fax Number: | 3014172653 |
NPI Enumeration Date: | 02/07/2007 |
NPI Last Update Date: | 12/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | PT008960 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |