NPI 1467072769

Jason Cardillo, PTA

Practitioner Physical Therapy Assistant Woodstock, GA

Practice location

Address: 906 Grier St, Woodstock, GA 30189-7811
Phone: (770) 402-4592

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA004429 (GA)

Other Physical Therapy Assistant providers in Georgia →

Registry record

NPI: 1467072769
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Apr 2020
Record last updated: 16 Apr 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.