JASON CLYDE

JOPLIN, MO
NPI1841034832
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MO  2023003001)
Enumeration Date2024-06-24
Last Update Date2024-06-24
Business Address
JASON CLYDE COTA/L
2700 E 34TH ST
JOPLIN, MO 64804-4310
Phone number: 417-781-1737
Mailing Address
JASON CLYDE COTA/L
2700 E 34TH ST REHAB OFFICE
JOPLIN, MO 64804
Phone number: 931-561-6256