Jasen Scott Tennison, COTAL

NPI #1821294869 in The Dalles, Oregon

Provider Information

NPI Number
1821294869
Entity Type
Individual
Name
Jasen Scott Tennison, COTAL
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
COTAL
Enumeration Date
Jun 26, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
700 VETERANS DRIVE
Address 2
OREGON VETERANS HOME
State
Oregon
ZIP Code
97058
Phone
(971) 206-5129

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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