Individual
JORDAN LYEW KONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
18901 PEBBLE LINKS CIR APT 305, TAMPA, FL 33647-1888
(239) 826-7959
Mailing address
18901 PEBBLE LINKS CIR APT 305, TAMPA, FL 33647-1888
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT15685
FL
Other
Enumeration date
12/14/2014
Last updated
12/14/2014
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