Individual
JASON DREW STAPLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
6155 FOUNTAIN VALLEY SCHOOL RD., COLORADO SPRINGS, CO 80911-2251
(817) 992-1495
Mailing address
6155 FOUNTAIN VALLEY SCHOOL RD., COLORADO SPRINGS, CO 80911-2251
(817) 992-1495
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-3117
CO
225XE0001X
Environmental Modification Occupational Therapist
OT.0003117
CO
Other
Enumeration date
10/03/2011
Last updated
10/07/2021
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