Individual
JASON VALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
180 EATON RIDGE DR APT 102, SAGAMORE HILLS, OH 44067-1579
(440) 596-7871
Mailing address
180 EATON RIDGE DR APT 102, SAGAMORE HILLS, OH 44067-1579
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
007993
OH
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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