Individual
CHELSEA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1710 NYS RTE 13, CORTLAND, NY 13045-9618
(607) 758-5241
Mailing address
1710 NYS RTE 13, CORTLAND, NY 13045-9618
(607) 758-5241
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
024708
NY
225X00000X
Occupational Therapist
OT3886
NM
225X00000X
Occupational Therapist
TOC102501
PA
Other
Enumeration date
08/14/2012
Last updated
09/24/2021
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