Individual
JASON FRANCIS LAACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 JOHN RINGLING BLVD FL 34236, SARASOTA, FL 34236-1542
(941) 365-2600
Mailing address
99 ROTONDA CIR, ROTONDA WEST, FL 33947-2241
(223) 834-1140
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
15343
FL
224Z00000X
Occupational Therapy Assistant
214627
TX
Other
Enumeration date
08/27/2018
Last updated
03/18/2021
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