Individual
JORDAN LINDSAY DINICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
523 FELLOWSHIP RD STE 290, MOUNT LAUREL, NJ 08054-3418
(609) 922-9829
Mailing address
6 STONE RIVER RD, CLEMENTON, NJ 08021-2831
(609) 922-9829
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01030800
NJ
Other
Enumeration date
01/13/2023
Last updated
01/13/2023
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