Individual
MS. MEGHAN TERESA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
11 KING CHARLES DR STE A2, PORTSMOUTH, RI 02871-1364
(401) 683-8063
Mailing address
1151 HOPE ST, BRISTOL, RI 02809-1137
(401) 585-5457
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA00937
RI
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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