Individual
MRS. LYSBETH JANE JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT OTR/L
Contact information
Practice address
3014 EDMOND ST, SAINT JOSEPH, MO 64501-3312
(816) 383-2772
(816) 232-8777
Mailing address
3014 EDMOND ST, SAINT JOSEPH, MO 64501-3312
(816) 590-3213
(816) 232-8777
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
005493
MO
Other
Enumeration date
01/23/2007
Last updated
10/26/2017
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