MR. Jason William Dozark, C.O.T.A

NPI #1467848317 in Mequon, Wisconsin

Provider Information

NPI Number
1467848317
Entity Type
Individual
Name
MR. Jason William Dozark, C.O.T.A
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Credential
C.O.T.A
Enumeration Date
Apr 7, 2015
Last Updated
Apr 7, 2015

Practice Location

Address
7212 W LAFAYETTE PL
City
Mequon
ZIP Code
53092-1595
Phone
(262) 643-4230

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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