Individual
KARA LEIGH JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. OTR/L
Contact information
Practice address
8513 WILD WING WAY, COLUMBIA, MD 21045-2608
(410) 419-9648
Mailing address
8513 WILD WING WAY, COLUMBIA, MD 21045-2608
(410) 419-9648
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC016899
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OC016899
OCCUPATIONAL THERAPY LICENSE NUMBER
PA
Enumeration date
07/21/2020
Last updated
07/26/2020
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