Organization
ON THE MOVE OCCUPATIONAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BETH A JORDAN OTD, MSOTR/L (OCCUPATIONAL THERAPIST)
(315) 934-4459
Entity
Organization
Contact information
Practice address
219 COUNTY ROUTE 57, UNIT 20, BOX 3, PHOENIX, NY 13135-3300
(315) 934-4459
(315) 934-4459
Mailing address
219 COUNTY ROUTE 57, UNIT 20, BOX 3, PHOENIX, NY 13135-3300
(315) 934-4459
(315) 934-4459
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
015186
NY
Other
Enumeration date
07/07/2011
Last updated
07/07/2011
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