JASON NEEDHAM

GLENDALE, AZ
NPI1598353260
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: AZ  OTA-046880)
Enumeration Date2021-01-07
Last Update Date2021-01-07
Business Address
JASON NEEDHAM
20329 N 59TH AVE STE A2
GLENDALE, AZ 85308-6854
Phone number: 480-787-5387
Mailing Address
JASON NEEDHAM
PO BOX 7571
SURPRISE, AZ 85374-0109
Phone number:
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