Individual
JORDAN N MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1614 FLEMING ST APT A, CONWAY, AR 72032-2645
(479) 739-7550
Mailing address
1614 FLEMING ST APT A, CONWAY, AR 72032-2645
(479) 739-7550
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1672
AR
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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