Individual
ANNA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1277 TAYLOR RD, OWEGO, NY 13827-1274
(607) 725-7420
Mailing address
24 DOMINIC RD, CANDOR, NY 13743-2415
(607) 342-6405
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
028462
NY
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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