Individual
BLAKELEE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
3208 CAMDEN RD, WARREN, ME 04864-4124
(207) 593-8165
Mailing address
3208 CAMDEN RD, WARREN, ME 04864-4124
(207) 593-8165
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT3799
ME
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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