Individual
JASON LEONDAS BRUMFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
201 HALL HWY, CRISFIELD, MD 21817-1237
(410) 968-1801
Mailing address
730 9TH ST, POCOMOKE CITY, MD 21851-1618
(443) 783-5063
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A02365
MD
Other
Enumeration date
05/01/2020
Last updated
05/01/2020
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