Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 1129245 | TX |
NPI | 1346819455 |
---|---|
Provider Name | Jason Cash Cotter |
First Address | Arlington, TX 76006-4020 |
Second Address | Arlington, TX 76006-4020 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2021 |
Last Update Date | 22/06/2021 |