Individual
KATHY JOHNSON JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
16835 DEER CREEK DR STE 12, SPRING, TX 77379-4968
(281) 379-4373
(281) 655-0762
Mailing address
3322 BRECKENRIDGE DR, HOUSTON, TX 77066-4902
(281) 222-4547
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
762
TX
Other
Enumeration date
11/13/2019
Last updated
11/13/2019
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