Individual
ANN THERESE JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
533 2ND ST, ENCINITAS, CA 92024-3558
(760) 814-4938
(888) 773-3272
Mailing address
1908 COUNTRY GROVE LN, ENCINITAS, CA 92024-1905
(760) 943-6801
(760) 943-6801
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
OT 1430
CA
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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