JASON DANIEL TERRY

ROME, GA
NPI1336850346
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: GA  OTA001478)
Enumeration Date2022-12-09
Last Update Date2022-12-09
Business Address
Mr. JASON DANIEL TERRY COTA
23 SCENIC TRACE DR NW
ROME, GA 30165-4494
Phone number: 706-346-9088
Mailing Address
Mr. JASON DANIEL TERRY COTA
23 SCENIC TRACE DR NW
ROME, GA 30165-4494
Phone number: 706-346-9088