Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225CA2400X | Assistive Technology Practitioner | 100186 | VA |
NPI | 1457515512 |
---|---|
Provider Name | Mr. Jason Hand |
First Address | Staunton, VA 24402-1251 |
Second Address | Staunton, VA 24401 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2008 |
Last Update Date | 17/07/2008 |