Individual
JORDAN AMBER MOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
102 PALMETTO LN, LARGO, FL 33770-2616
(580) 364-6329
Mailing address
102 PALMETTO LN, LARGO, FL 33770-2616
(580) 364-6329
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
205850
FL
Other
Enumeration date
01/17/2020
Last updated
01/17/2020
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