Individual
JORDAN WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
3201 BRIGHTON BLVD APT 553, DENVER, CO 80216-3732
(513) 490-9633
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0006741
CO
Other
Enumeration date
05/14/2021
Last updated
05/14/2021
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