Individual
CASSANDRA JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6710 CHARLOTTE AVE SE, AUBURN, WA 98092-8336
(804) 605-1157
Mailing address
6710 CHARLOTTE AVE SE, AUBURN, WA 98092-8336
(804) 605-1157
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
60341645
WA
Other
Enumeration date
03/31/2016
Last updated
03/31/2016
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