Individual
JORDAN B TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
119 COLONY CROSSING WAY STE 820, MADISON, MS 39110-6330
(769) 233-7154
Mailing address
921 W BEACON ST, PHILADELPHIA, MS 39350-3229
(601) 650-0002
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3650
MS
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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