Individual
BRETT JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
5800 SAINT CROIX AVE N, MINNEAPOLIS, MN 55422-4446
(763) 546-6125
Mailing address
949 QUARRY RD, RIVER FALLS, WI 54022-5712
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
106543
MN
Other
Enumeration date
05/12/2021
Last updated
05/12/2021
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