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Individual

REBECCA DENISE JORDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
24 COOLIDGE RD, WORCESTER, MA 01602-2709
(508) 373-6799
Mailing address
24 COOLIDGE RD, WORCESTER, MA 01602-2709
(508) 373-6799

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1989
MA

Other

Enumeration date
12/09/2011
Last updated
12/09/2011
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