Individual
MRS. JORDAN ALEXIS PINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
214 PEACH ORCHARD ROAD, MCCONNELLSBURG, PA 17233
(717) 485-6108
Mailing address
13826 FORT LOUDON RD, MERCERSBURG, PA 17236-8505
(814) 932-2718
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC015162
PA
Other
Enumeration date
03/07/2018
Last updated
10/12/2022
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