Individual
JASON ERNST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
6840 E BROWN RD STE 104, MESA, AZ 85207-3759
(480) 719-8080
(480) 981-8595
Mailing address
1844 E BASELINE RD STE C5, TEMPE, AZ 85283-1506
(480) 833-1005
(480) 833-1312
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
4178
AZ
Other
Enumeration date
08/18/2011
Last updated
05/07/2020
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