Most Relevant Information
Provider Data
| NPI Number: | 1003559642 |
| Provider Name: | JASON ERIC HERRERA DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 301651 |
Most Important Dates
| Enumeration Date: | 04/20/2022 |
| Last Updated: | 04/20/2022 |
Provider Practice Location
3908 10TH ST
RIVERSIDE
CA
925013522
Practice Location Phone/Fax
| Phone: | 9512747744 |
| Fax: |
Provider Mailing Location
3908 10TH ST
RIVERSIDE
CA
925013522
Provider Mailing Phone/Fax
| Phone: | 9512747744 |
| Fax: |