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Jason Colon, OTRL

Occupational Therapist, Pediatrics in Anchorage, AK. Individual provider (NPI-1).

NPI number1124489232
StatusActive
Last updated in NPPESMar 16, 2016

Details

NPI
1124489232
Entity type
Individual (NPI-1)
Name
Jason Colon
Credential
OTRL
Sex
Male
Sole proprietor
No
Enumeration date
Mar 16, 2016
Last updated
Mar 16, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225XP0200X Occupational Therapist, Pediatrics109399AKYes
225X00000X Occupational Therapist109399AK

Practice location

6311 Debarr Rd
Suite J
Anchorage, AK 99504-1787

Phone 907-350-3840

Mailing address

5432 E Northern Lights Blvd
Anchorage, AK 99508-4713

Phone 907-350-3840

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