Individual
MRS. KATHERINE N JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3767 DELAWARE AVE, KENMORE, NY 14217-1040
(716) 874-6175
(716) 874-6175
Mailing address
146 N ELLWOOD AVE, BUFFALO, NY 14223-2545
(716) 832-6505
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
002442
NY
Other
Enumeration date
09/11/2011
Last updated
09/11/2011
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