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Individual

MRS. SARAH BETH JORDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
4024 LARAMIE ST, CHEYENNE, WY 82001-2064
(307) 634-5384
Mailing address
8204 STAGECOACH RD, CHEYENNE, WY 82009-9509
(307) 634-1741

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
471
WY

Other

Enumeration date
07/20/2009
Last updated
08/21/2014
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