Individual
MRS. HAYLEY L JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL, CLT
Contact information
Practice address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-2770
(608) 324-2469
Mailing address
N 1690 COUNTY S, JUDA, WI 53550
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056.0007177
IL
225X00000X
Occupational Therapist
Primary
4244-026
WI
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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