Individual
JAISON METROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ITDS, COTA, SLPA
Contact information
Practice address
1674 NW 143RD WAY, PEMBROKE PINES, FL 33028-3009
(954) 554-1633
Mailing address
1674 NW 143RD WAY, PEMBROKE PINES, FL 33028-3009
(954) 554-1633
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
FL
Other
Enumeration date
08/27/2009
Last updated
01/31/2022
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