Individual
ALISA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
30 WARREN ST, OCCUPATIONAL THERAPY DEPARTMENT, BRIGHTON, MA 02135-3602
(617) 254-3800
Mailing address
30 WARREN ST, OCCUPATIONAL THERAPY DEPARTMENT, BRIGHTON, MA 02135-3602
(617) 254-3800
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
9034
MA
Other
Enumeration date
07/22/2008
Last updated
07/22/2008
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