Individual
JORDAN HOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503-5247
(616) 840-8000
Mailing address
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503-5247
(616) 840-8000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119008332
VA
225X00000X
Occupational Therapist
08805
MD
225X00000X
Occupational Therapist
120461
TX
225X00000X
Occupational Therapist
Primary
5201009449
MI
Other
Enumeration date
11/17/2018
Last updated
05/07/2024
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