Individual
MR. JASON CHRISTOPHER ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1200 E PECAN ST, ALTUS, OK 73521-6141
(580) 379-5820
Mailing address
1200 E PECAN ST, ALTUS, OK 73521-6141
(580) 379-5820
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2031
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201089700A
—
OK
Enumeration date
11/07/2007
Last updated
11/21/2023
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