Individual
JORDAN WOLMARANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2626 W BEARSS AVE, TAMPA, FL 33618-1933
(941) 704-8166
Mailing address
11714 CASA LAGO LN, TAMPA, FL 33626-3368
(941) 704-8166
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT18653
FL
Other
Enumeration date
01/12/2023
Last updated
01/12/2023
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