Individual
MALLORY JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
802 SHONEY DR SW STE C, HUNTSVILLE, AL 35801-5435
(256) 509-4398
(800) 317-4728
Mailing address
PO BOX 1647, HUNTSVILLE, AL 35807-0647
(256) 509-4398
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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