Individual
JASON CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
120443
TX
225XP0200X
Pediatric Occupational Therapist
46TR00003600
NJ
Other
Enumeration date
01/10/2007
Last updated
12/17/2019
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