Individual
CHELSEA HANNAH JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
500 E VALLEY PKWY, ESCONDIDO, CA 92025-3054
(760) 737-5110
Mailing address
1411 QUEENSTON DR, ESCONDIDO, CA 92027-3951
(708) 476-3598
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2315
CA
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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