Individual
JASON OCKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
661 W 1ST ST, TUSTIN, CA 92780-2939
(714) 838-2853
Mailing address
1932 SIERRA VISTA DR, TUSTIN, CA 92780-5239
(714) 470-6567
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2492
CA
Other
Enumeration date
05/19/2014
Last updated
05/19/2014
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