Individual
JORDAN COX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
615 WASHINGTON ST, BEARDSTOWN, IL 62618-1559
(573) 259-5797
Mailing address
615 WASHINGTON ST, BEARDSTOWN, IL 62618-1559
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.011041
IL
Other
Enumeration date
11/01/2015
Last updated
11/01/2015
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