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Individual

JULIE JORDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1368
Mailing address
2305 N 20TH ST, BOISE, ID 83702-0836
(208) 343-2130

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-813
ID

Other

Enumeration date
01/24/2007
Last updated
06/19/2008
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