Individual
LADONNAA RENEE JORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 BELL RD, SELMA, AL 36701-6793
(334) 874-7425
Mailing address
99 CLAYHILL RD # NA, THOMASVILLE, AL 36784-4728
(615) 473-0508
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
5418
AL
224ZE0001X
Environmental Modification Occupational Therapy Assistant
1137
TN
224ZE0001X
Environmental Modification Occupational Therapy Assistant
Primary
5418
AL
Other
Enumeration date
04/19/2017
Last updated
01/15/2021
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