Individual
ANTONIA JASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6651 E CARONDELET DR, TUCSON, AZ 85710-2118
(520) 731-8533
(520) 721-3601
Mailing address
5809 E 5TH ST, TUCSON, AZ 85711-2403
(520) 232-3896
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2681
AZ
Other
Enumeration date
07/23/2008
Last updated
07/23/2008
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