MR. Jason Mageto, COTA/L

NPI #1306234844 in Azle, Texas

Provider Information

NPI Number
1306234844
Entity Type
Individual
Name
MR. Jason Mageto, COTA/L
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
COTA/L
Enumeration Date
Jan 7, 2015
Last Updated
Jan 7, 2015

Practice Location

Address
721 DUNAWAY LN
City
Azle
State
Texas
ZIP Code
76020-2605
Phone
(817) 444-2536

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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