Individual
CALLIE CARDELLIA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
146 LINWOOD DR, PARAGOULD, AR 72450
(870) 520-8761
Mailing address
10 REBEL HEIGHTS LN, HIGHLAND, AR 72542-9490
(870) 847-2989
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
AR
224Z00000X
Occupational Therapy Assistant
Primary
OT2019-018
AR
Other
Enumeration date
05/25/2015
Last updated
10/03/2019
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