Individual
MR. JASON MAGETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
721 DUNAWAY LN, AZLE, TX 76020-2605
(817) 444-2536
Mailing address
2825 N STATE HIGHWAY 360, APT 141, GRAND PRAIRIE, TX 75050-7842
(316) 305-8012
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212165
TX
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
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