Individual
GIGI JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
200 E DEL MAR BLVD, PASADENA, CA 91105-2544
(626) 564-2700
Mailing address
200 E DEL MAR BLVD, PASADENA, CA 91105-2544
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
15100
CA
Other
Enumeration date
03/18/2015
Last updated
03/18/2015
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