Individual
MRS. KRISTIN KAY JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
14160 S BLACKBOB RD, OLATHE, KS 66062-2024
(913) 780-7000
Mailing address
6605 W 73RD ST, OVERLAND PARK, KS 66204-2026
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-00578
KS
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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