NPI 1043653561

Jason William Anderson, SPECIALEDUCATION

Practitioner Developmental Therapist Castile, NY

Practice location

Address: 72 S Main St, Castile, NY 14427-9604
Phone: (585) 217-7698

Registered specialties

Developmental Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Q00000X Licence 1733233 (NY)

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Registry record

NPI: 1043653561
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Apr 2013
Record last updated: 15 Apr 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.