Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | PT870947 | DC |
NPI | 1154575264 |
---|---|
Provider Name | Jason Bascom Dring |
First Address | Washington, DC 20016-2105 |
Second Address | Washington, DC 20016-2105 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2008 |
Last Update Date | 21/01/2014 |