Individual
YASMINE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT, OTR
Contact information
Practice address
1353 E MAIN ST, BROWNSBURG, IN 46112-1433
(317) 520-4748
Mailing address
1353 E MAIN ST, BROWNSBURG, IN 46112-1433
(317) 520-4748
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300030126
—
IN
Enumeration date
02/19/2018
Last updated
11/01/2019
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