Individual
TAYLOR JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
234 HEDRICK DR, KERNERSVILLE, NC 27284-2310
(727) 225-8593
Mailing address
234 HEDRICK DR, KERNERSVILLE, NC 27284-2310
(727) 225-8593
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTL15253
MA
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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