Individual
MRS. LISA ANN JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
16910 FRANCES ST, SUITE 102, OMAHA, NE 68130-2399
(402) 932-3355
(402) 932-3370
Mailing address
17641 WOOLWORTH AVE, OMAHA, NE 68130-4617
(402) 391-0804
Taxonomy
Speciality
Code
Description
License number
State
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
1292
NE
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
Primary
619
NE
Other
Enumeration date
12/09/2011
Last updated
03/05/2012
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