Individual
JORDAN MICHELE WEBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
310 E WARDELL DR, PEMBROKE, NC 28372-7997
(910) 521-1273
Mailing address
385 RINGWALD ST, CHILLICOTHE, OH 45601-1543
(740) 701-1541
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
NC
224Z00000X
Occupational Therapy Assistant
—
—
Other
Enumeration date
10/04/2023
Last updated
10/10/2023
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