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Individual

JORDAN TAYLOR RATLIFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2001 N KINGSHIGHWAY ST, CAPE GIRARDEAU, MO 63701-2127
(573) 421-5642
Mailing address
28823 STATE HIGHWAY 25, ADVANCE, MO 63730-8163

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2016044933
MO

Other

Enumeration date
07/28/2021
Last updated
07/28/2021
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