Individual
MISS AMIE D JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CBIS
Contact information
Practice address
1450 MADISON AVE, NEW YORK, NY 10029-6508
(212) 241-7172
Mailing address
1450 MADISON AVE, NEW YORK, NY 10029-6508
(212) 241-7172
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
015846
NY
225X00000X
Occupational Therapist
5238
CA
Other
Enumeration date
05/15/2008
Last updated
07/29/2015
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