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Individual

MR. JAMES MATTHEW JORDAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OCCUPATIONAL THERAPI

Contact information

Practice address
32 HAMPTON VILLAGE PLAZA, ST LOUIS, MO 63109
(314) 353-2626
Mailing address
32 HAMPTON VILLAGE PLAZA, ST LOUIS, MO 63109
(314) 353-2626

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR1668
AR

Other

Enumeration date
03/28/2007
Last updated
08/07/2008
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