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Individual

JORDAN ALEXANDRA LOMBARDO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
4200 W UTICA RD, SHELBY TOWNSHIP, MI 48317-4766
(586) 739-5520
Mailing address
12394 CONSERVATION TRL, SHELBY TOWNSHIP, MI 48315-3420
(586) 350-7487

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202010268
MI

Other

Enumeration date
09/01/2025
Last updated
09/01/2025
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