Individual
MR. JASON DANIEL BURSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTA
Contact information
Practice address
900 S TEMPLE DR, DIBOLL, TX 75941-2725
(936) 829-5501
(936) 829-5503
Mailing address
900 S TEMPLE DR, DIBOLL, TX 75941-2725
(936) 225-1757
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210639
TX
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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