Individual
JASMINE F COLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1001 SW A AVE, LAWTON, OK 73501-3951
(732) 505-7658
Mailing address
1410 NW TAYLOR AVE UNIT C, LAWTON, OK 73507-3884
(580) 928-7210
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2651
OK
225XP0200X
Pediatric Occupational Therapist
OTA17412
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9527941466
—
FL
Enumeration date
08/28/2019
Last updated
07/30/2025
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