Individual
MR. JASON JOHN SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
5901 OURAY RD NW, ALBUQUERQUE, NM 87120-1381
(505) 836-0023
Mailing address
PO BOX 603, BAYARD, NM 88023-0603
(808) 756-2712
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT4603
NM
Other
Enumeration date
01/31/2012
Last updated
01/28/2022
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