Individual
JORDAN M PIPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
3799 12TH STREET EXT STE 100, CAYCE, SC 29033-3750
(803) 926-6810
(803) 926-6811
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4891
SC
Other
Enumeration date
12/27/2017
Last updated
11/10/2020
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