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NPI Code Detail

MEDICARE: ANNETTE JASSO

MEDICARE: ANNETTE JASSO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist

General Provider Information

NPI Number : 1205659612
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNETTE JASSO
Provider Business Mailing Address
First Line : 2708 BUDDY OWENS AVE
Second Line :
City : MCALLEN
State : TX
Zip : 78504-6927
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2708 BUDDY OWENS AVE
Second Line :
City : MCALLEN
State : TX
Zip : 78504-6927
Country : US
Telephone Number : 956-627-4413
Fax Number : 956-627-5312
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2024
Last Update Date : 11/04/2024

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Directions to “ ANNETTE JASSO ” Practice Location

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