Individual
JORDAN PULLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5406 MERLE HAY RD, JOHNSTON, IA 50131-1209
(515) 727-8000
Mailing address
5406 MERLE HAY RD, JOHNSTON, IA 50131-1209
(515) 727-8000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
079629
IA
Other
Enumeration date
09/01/2015
Last updated
09/01/2015
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