Individual
COURTNEY PAIGE JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
423 N MCLEAN BLVD, WICHITA, KS 67203
(316) 618-1252
(316) 869-2277
Mailing address
423 N MCLEAN BLVD, WICHITA, KS 67203
(316) 618-1252
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-00791
KS
Other
Enumeration date
07/09/2014
Last updated
09/06/2023
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