Individual
PATRICIA JONES JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ORTL
Contact information
Practice address
609 JEFFERSON ST, WHITEVILLE, NC 28472-3707
(910) 641-4090
(910) 641-4092
Mailing address
609 JEFFERSON ST, WHITEVILLE, NC 28472-3707
(910) 641-4090
(910) 641-4092
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1188
NC
Other
Enumeration date
05/21/2009
Last updated
05/21/2009
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