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Individual

JASON KUPIEC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
24513
SC
222Q00000X
Developmental Therapist
24513
SC
251E00000X
Home Health Agency
24513
SC
385H00000X
Respite Care
24513
SC

Other

Enumeration date
11/09/2010
Last updated
08/21/2026
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