Individual
MR. CHAD JASON VERNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
3111 CLEARWATER DR STE C, PRESCOTT, AZ 86305-7186
(928) 777-9890
(928) 777-9891
Mailing address
905 HARRIS LN, BLANDING, UT 84511-3345
(970) 297-8986
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11151675-4201
UT
Other
Enumeration date
02/24/2023
Last updated
02/24/2023
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