Individual
MRS. JORDAN DARLENE DAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
522 GLENWOOD AVE, NEW BOSTON, OH 45662-5505
(740) 354-7761
(740) 354-6778
Mailing address
762 MOUNTAIN MEADOW DR, JACKSON, OH 45640-8022
(740) 710-1999
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006619
OH
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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