Individual
MR. DAVID W JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
220 DANVILLE CORNER ROD, AUBURN, ME 04210
(207) 795-0419
(207) 795-0485
Mailing address
899 RIVERSIDE ST, PORTLAND, ME 04103-1070
(207) 871-1200
(207) 871-1232
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1014807
ME
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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