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Individual

JASON BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
COTA

Contact information

Practice address
15761 NE BOB SANDERS RD, HOSFORD, FL 32334-2639
(850) 545-2098
Mailing address
15761 NE BOB SANDERS RD, HOSFORD, FL 32334-2639
(850) 545-2098

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 10032
FL

Other

Enumeration date
10/06/2015
Last updated
10/06/2015
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