Individual
PARIS JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
68 HERDS CT, CATAULA, GA 31804-4064
(706) 358-5211
Mailing address
68 HERDS CT, CATAULA, GA 31804-4064
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
011901069
VA
225X00000X
Occupational Therapist
4183
MS
Other
Enumeration date
03/05/2026
Last updated
03/05/2026
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