Individual
JASON PACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
9022 RICHFIELD LN, KNOXVILLE, TN 37924-4579
(865) 279-6718
(855) 232-8604
Mailing address
9022 RICHFIELD LN, KNOXVILLE, TN 37924-4579
(865) 293-9449
(855) 232-8604
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2473
TN
Other
Enumeration date
12/05/2019
Last updated
02/12/2025
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