Healthcare Provider Details

I. General information

NPI: 1134727001
Provider Name (Legal Business Name): JASON FLAMAN BSCPT (PHYSIOTHERAPY
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2020
Last Update Date: 10/13/2020
Certification Date: 10/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

FLAMAN PHYSIOTHERAPY #15-1945 MCKERCHER DRIVE
SASKATOON SASKATCHEWAN
S7J 4M4
CA

IV. Provider business mailing address

FLAMAN PHYSIOTHERAPY #15-1945 MCKERCHER DRIVE
SASKATOON SASKATCHEWAN
S7J 4M4
CA

V. Phone/Fax

Practice location:
  • Phone: 306-374-2551
  • Fax: 306-374-2551
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1378
License Number StateZZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: