Individual
JORDAN DENISE HARGADON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
340 TESCONI CIR STE C, SANTA ROSA, CA 95401-4676
(707) 546-9160
(707) 546-1338
Mailing address
340 TESCONI CIR STE C, SANTA ROSA, CA 95401-4676
(707) 546-9160
(707) 546-1338
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22608
OT LICENSE
CA
Enumeration date
04/17/2025
Last updated
04/17/2025
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