Individual
JORDAN GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
380 ELM ST, LONDON, OH 43140-9220
(740) 845-3272
Mailing address
2200 S US HIGHWAY 68, URBANA, OH 43078-9470
(937) 484-1557
(937) 652-2221
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT008851
OH
Other
Enumeration date
09/03/2016
Last updated
09/03/2016
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