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Individual

MS. HEATHER JORDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
51 E 4TH ST, THE PLAINS, OH 45780-1346
(740) 797-4561
Mailing address
2645 STONEY POINT RD, MALTA, OH 43758-9766
(740) 343-3334

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
03657
OH

Other

Enumeration date
06/15/2021
Last updated
06/15/2021
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