Individual
MS. CAROL J JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
850 E BUTLER RD, GREENVILLE, SC 29607-5842
(864) 675-6421
Mailing address
705 WINDWARD WAY, GREER, SC 29650-3917
(864) 268-4372
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2565
SC
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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