Individual
LORI JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2939 DES MOINES DR, FORT COLLINS, CO 80525-6687
(970) 818-1841
Mailing address
8515 BLUFFTON RD, FORT WAYNE, IN 46809-3022
(260) 207-5632
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/04/2022
Last updated
08/08/2022
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