Individual
MRS. JOHANNA CATHARINA JORDAAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.OT
Contact information
Practice address
625 STEVENS ST, MEDFORD, OR 97504-6719
(541) 864-1930
(541) 864-1878
Mailing address
625 STEVENS ST, MEDFORD, OR 97504-6719
(541) 864-1930
(541) 864-1878
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
987933
OR
Other
Enumeration date
06/17/2008
Last updated
06/17/2008
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