Individual
JASON T JUSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1060 HARRISON RD, COLORADO SPRINGS, CO 80905-3543
(719) 210-1179
Mailing address
1060 HARRISON RD, COLORADO SPRINGS, CO 80905-3543
(719) 210-1179
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.0001612
CO
Other
Enumeration date
03/29/2024
Last updated
03/29/2024
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