Individual
JORDAN RAE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
625 PINEY FOREST RD STE 407, DANVILLE, VA 24540-2870
(434) 799-7732
Mailing address
13400 S ROUTE 59 STE 116-326, PLAINFIELD, IL 60585-5826
(815) 592-1123
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009881
MI
Other
Enumeration date
07/26/2017
Last updated
01/16/2025
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