Individual
MISS JORDAN KAY SCHALK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 POLE LINE RD W, TWIN FALLS, ID 83301-5810
(208) 814-1000
Mailing address
224 BOHICKET RD, WHITELAND, IN 46184-7021
(317) 503-7475
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31007867A
IN
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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