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Individual

JORDAN FIEDLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
150 HARVESTER DR STE 190, BURR RIDGE, IL 60527-6689
(866) 573-2556
Mailing address
234 MALL BLVD STE G50, KING OF PRUSSIA, PA 19406-5014
(866) 573-2556

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.013198
IL

Other

Enumeration date
07/14/2025
Last updated
07/14/2025
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