Individual
ALISON JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
GRACEDALE AVENUE, NAZARETH, PA 18064
(610) 746-1906
Mailing address
4637 CHERYL DR, BETHLEHEM, PA 18017-8714
(610) 704-8402
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP006032
PA
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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