Individual
CHRISTOPHER JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CTRS
Contact information
Practice address
248 STATE ST, BREWER, ME 04412-1519
(207) 989-2034
(207) 989-5971
Mailing address
248 STATE ST, BREWER, ME 04412-1519
(207) 989-2034
(207) 989-5971
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
48419
ME
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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