Individual
JASON SUMMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4881 S LANTANA PL, TUCSON, AZ 85730-4117
(520) 780-2409
Mailing address
4881 S LANTANA PL, TUCSON, AZ 85730-4117
(520) 780-2409
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6742
AZ
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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