Individual
JASON SCOTT MASK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
2400 MCKINNEY BLVD, COLONIAL BEACH, VA 22443-1237
(804) 224-2222
Mailing address
2014 CYPRESS DR, CHARLOTTESVILLE, VA 22911-5825
(970) 623-9900
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131002059
VA
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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