WALTER LARRY JASEK

BALTIMORE, MD
NPI1629777180
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MD  A00816)
Enumeration Date2023-02-23
Last Update Date2023-02-23
Business Address
WALTER LARRY JASEK COTA/L
2327 N CHARLES ST
BALTIMORE, MD 21218-5128
Phone number: 443-220-4583
Mailing Address
WALTER LARRY JASEK COTA/L
18633 OUTPOST RD
KEEDYSVILLE, MD 21756-1825
Phone number: 443-220-4583