Individual
ALANA MARIE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
251 W 70TH ST S, MUSKOGEE, OK 74401-8924
(580) 982-8316
Mailing address
849 W DELAWARE ST, TAHLEQUAH, OK 74464-3425
(479) 220-7164
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2084
OK
Other
Enumeration date
07/07/2020
Last updated
08/13/2020
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