Individual
JORDAN ROMEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
4180 SAGE BLUFF XING, FORT WAYNE, IN 46804-2363
(260) 443-7300
Mailing address
4321 HOLTON AVE, FORT WAYNE, IN 46806-2414
(917) 292-7662
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31008055A
IN
Other
Enumeration date
06/22/2023
Last updated
03/02/2026
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