NPI 1336850346

Jason Daniel Terry, COTA

Practitioner Occupational Therapy Assistant Rome, GA

Practice location

Address: 23 Scenic Trace Dr NW, Rome, GA 30165-4494
Phone: (706) 346-9088

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OTA001478 (GA)

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Registry record

NPI: 1336850346
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Dec 2022
Record last updated: 9 Dec 2022

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.