Individual
JASON MASK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15002 HUTCHISON RD, TAMPA, FL 33625-5509
(813) 960-1969
Mailing address
3500 LONGVIEW LN, LAKELAND, FL 33812-4219
(262) 960-8213
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
19205
FL
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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