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Contact Information

JASON BEACH, COTA
13875 W 115TH TER
OLATHE, KS66062-7937
 Phone: 800-381-0822
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for JASON BEACH · (Male)

NPI Number 1356124507
Status Active
Credentials COTA (Certified Occupational Therapy Assistant)
Entity Individual
Enumeration date 08/14/2023
Last updated 08/14/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 18-01125
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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