Individual
JORDAN ARMEL BRANFORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11185 W 6TH AVE, LAKEWOOD, CO 80215-5538
(303) 230-6060
Mailing address
11185 W 6TH AVE, LAKEWOOD, CO 80215-5538
(303) 230-6060
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-03170
KS
261QX0100X
Occupational Medicine Clinic/Center
0004416
CO
Other
Enumeration date
09/28/2015
Last updated
12/19/2016
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