Individual
REBECCA KIM JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
175 W 93RD ST APT 10K, NEW YORK, NY 10025-9335
(917) 447-4848
Mailing address
175 W 93RD ST APT 10K, NEW YORK, NY 10025-9335
(917) 447-4848
Taxonomy
Speciality
Code
Description
License number
State
225CX0006X
Orientation and Mobility Training Rehabilitation Counselor
Primary
—
NY
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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