Individual
HELENA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
995 IVY ST, CUMMING, GA 30041-7238
(770) 912-5162
(678) 352-9907
Mailing address
995 IVY ST, CUMMING, GA 30041-7238
(770) 912-5162
(678) 352-9907
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT003698
GA
Other
Enumeration date
11/17/2006
Last updated
11/26/2012
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