Individual
JORDAN SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4725 MERLE HAY RD STE 207, DES MOINES, IA 50322-1983
(435) 590-2178
Mailing address
171 LOVEJOY AVE, WATERLOO, IA 50701-4125
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
112190
IA
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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