Individual
MRS. CATHY LOUISE JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CTRS
Contact information
Practice address
1323 W 6TH AVE, STILLWATER, OK 74074-4306
(405) 742-5787
(405) 742-4976
Mailing address
12708 W 128TH ST, COYLE, OK 73027-2401
(405) 466-2694
(405) 742-4976
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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