Healthcare Provider Details

I. General information

NPI: 1528732013
Provider Name (Legal Business Name): AUSTIN JAROSZ DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2021
Last Update Date: 08/06/2021
Certification Date: 08/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8800 STOCKDALE HWY
BAKERSFIELD CA
93311-1012
US

IV. Provider business mailing address

7979 RIO GRANDE DR
CLEVES OH
45002-2302
US

V. Phone/Fax

Practice location:
  • Phone: 661-377-1700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT019237
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: