Individual
DIANE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
99 MAIN ST, DELHI, NY 13753-1221
(607) 829-2424
Mailing address
195 POMEROY RD, FRANKLIN, NY 13775-2603
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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