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Individual

JASON COLON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTRL

Contact information

Practice address
6311 DEBARR RD, SUITE J, ANCHORAGE, AK 99504-1787
(907) 350-3840
Mailing address
5432 E NORTHERN LIGHTS BLVD, ANCHORAGE, AK 99508-4713
(907) 350-3840

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
109399
AK
225XP0200X
Pediatric Occupational Therapist
Primary
109399
AK

Other

Enumeration date
03/16/2016
Last updated
03/16/2016
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