Individual
MR. JASON DAVID ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
505A ATLANTIC AVE, INTERLACHEN, FL 32148-5433
(386) 684-9110
Mailing address
420 NORTHSIDE DR, VALDOSTA, GA 31602-1802
(229) 333-8001
(229) 333-8333
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 10930
FL
Other
Enumeration date
10/25/2006
Last updated
06/29/2017
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