Individual
MR. JASON DANIEL TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
23 SCENIC TRACE DR NW, ROME, GA 30165-4494
(706) 346-9088
Mailing address
23 SCENIC TRACE DR NW, ROME, GA 30165-4494
(706) 346-9088
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA001478
GA
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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