Individual
JORDAN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4 HARVEST OAK CT, GREENSBORO, NC 27406-8783
(336) 522-9886
(336) 579-0693
Mailing address
4 HARVEST OAK CT, GREENSBORO, NC 27406-8783
(336) 522-9886
(336) 579-0693
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12466
NC
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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