Individual
JORDAN SHOULTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR
Contact information
Practice address
3001 S JACKSON ST, SAN ANGELO, TX 76904-5129
(325) 223-6300
Mailing address
5433 ENCLAVE CT, SAN ANGELO, TX 76904-1908
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
124789
TX
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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