Individual
JORDYN HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
9642 BURKE LAKE RD, BURKE, VA 22015-3052
(703) 425-1698
Mailing address
10037 BONNYKELLY CT, BRISTOW, VA 20136-5612
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131002769
VA
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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