Individual
JASON BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
13875 W 115TH TER, OLATHE, KS 66062-7937
(800) 381-0822
Mailing address
8477 S SUNCOAST BLVD, HOMOSASSA, FL 34446-5028
(800) 381-0822
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-01125
KS
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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