Individual
JORDAN TILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
8270 WILLOW OAKS CORPORATE DR FL 2, FAIRFAX, VA 22031-4530
(703) 678-3228
Mailing address
8270 WILLOW OAKS CORPORATE DR FL 2, FAIRFAX, VA 22031-4530
(703) 678-3228
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119007112
VA
Other
Enumeration date
10/06/2016
Last updated
08/09/2024
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