Individual
JORDAN DAVID DODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4801 KENMORE AVE APT 521, ALEXANDRIA, VA 22304-1108
(443) 602-2213
Mailing address
4801 KENMORE AVE APT 521, ALEXANDRIA, VA 22304-1108
(443) 602-2213
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119010598
VA
Other
Enumeration date
12/25/2024
Last updated
12/25/2024
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