WALTER LARRY JASEK COTA/L ⚕️ Maryland 1629777180

NPI	1629777180
Entity Type	Individual
Gender	Male
Sole Proprietor ?	Yes
Primary Taxonomy	224Z00000X Occupational Therapy Assistant (Licence: MD A00816)
Enumeration Date	2023-02-23
Last Update Date	2023-02-23

WALTER LARRY JASEK COTA/L

2327 N CHARLES ST

BALTIMORE, MD 21218-5128

Phone number: 443-220-4583

WALTER LARRY JASEK COTA/L

18633 OUTPOST RD

KEEDYSVILLE, MD 21756-1825

Phone number: 443-220-4583