Individual
JORDAN POORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
6613 LACONIA DR, SAINT LOUIS, MO 63123-2621
(573) 579-4461
Mailing address
6613 LACONIA DR, SAINT LOUIS, MO 63123-2621
(573) 579-4461
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2018022900
MO
Other
Enumeration date
07/09/2018
Last updated
04/07/2023
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