Individual
JASON LEE MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
3250 STATE RD, SELLERSVILLE, PA 18960-1624
(215) 257-2751
Mailing address
1348 ULSTER ST, ALLENTOWN, PA 18109-8757
(484) 264-1108
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP007105
PA
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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