Individual
MR. JASON ROBERT BETANCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
2607 EAGLE POINT DR, AMARILLO, TX 79103-6503
(303) 359-3190
Mailing address
2607 EAGLE POINT DR, AMARILLO, TX 79103-6503
(303) 359-3190
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
219224
TX
Other
Enumeration date
07/16/2026
Last updated
07/16/2026
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