MRS. Jaclyn Renee Mason, COTAL

NPI #1356998769 in Jefferson, Georgia

Provider Information

NPI Number
1356998769
Entity Type
Individual
Name
MRS. Jaclyn Renee Mason, COTAL
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Credential
COTAL
Enumeration Date
Aug 20, 2019
Last Updated
Aug 20, 2019

Practice Location

Address
609 LAKE VISTA DR
State
Georgia
ZIP Code
30549-4606
Phone
(540) 855-8525

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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