Individual
MRS. TAFFETA JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8432 GRANT AVE, OVERLAND PARK, KS 66212-3547
(417) 569-4007
Mailing address
3715 W 133RD ST, LEAWOOD, KS 66209-3347
(417) 569-4006
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
T-04594
KS
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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