Individual
MR. JASON WARD IRESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1255 PASADENA AVE S, SOUTH PASADENA, FL 33707-6203
(727) 828-3524
Mailing address
1255 PASADENA AVE S, SOUTH PASADENA, FL 33707-6203
(727) 828-3524
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 8374
FL
Other
Enumeration date
04/23/2008
Last updated
04/23/2008
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