Individual
JORDAN AMBER BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
10803 FALLS RD STE 2100, LUTHERVILLE, MD 21093-4562
(410) 583-2665
(410) 367-3307
Mailing address
6201 GREENLEIGH AVE, BALTIMORE, MD 21220-2004
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
09694
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09694
MARYLAND OT LICENSE
MD
01
—
22907
FLORIDA OT LICENSE
FL
01
—
469710
NBCOT CERTIFICATION NUMBER
—
Enumeration date
07/10/2022
Last updated
01/03/2025
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