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Search › New Jersey › 225200000X

Jason Koller, PTA

NPI 1164644407 · on the registry since 2007

Practice

Address
3002 Essex Rd
Tinton Falls, NJ 07753
Phone
(732) 643-2000
Fax
(732) 643-2056
Organisation at this address
Seabrook Village, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey