Individual
JORDAN COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4420 DIXIE HWY STE 122, LOUISVILLE, KY 40216-2986
(502) 447-2750
Mailing address
11501 CARRIAGE REST CT, LOUISVILLE, KY 40243-1000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
260399
KY
Other
Enumeration date
09/24/2019
Last updated
10/29/2019
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