Provider Demographics
NPI:1285355511
Name:SETO, JASON (PT, DPT)
Entity type:Individual
Prefix:MR
First Name:JASON
Middle Name:
Last Name:SETO
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 BURR AVE
Mailing Address - Street 2:
Mailing Address - City:MORGANVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07751-1207
Mailing Address - Country:US
Mailing Address - Phone:908-692-0135
Mailing Address - Fax:
Practice Address - Street 1:486 BRICK BLVD
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08723-6040
Practice Address - Country:US
Practice Address - Phone:732-920-4500
Practice Address - Fax:732-626-9801
Is Sole Proprietor?:No
Enumeration Date:2022-09-06
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA02123500225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist