Jared Cordum
NPI #1558007518 in Clovis, New Mexico
Provider Information
- NPI Number
- 1558007518
- Entity Type
- Individual
- Name
- Jared Cordum
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapist - Pediatrics
- Enumeration Date
- May 11, 2022
- Last Updated
- Jul 22, 2022
Practice Location
- Address
- 3009 PRINCE STREET
- Address 2
- SITE 46
- City
- Clovis
- State
- New Mexico
- ZIP Code
- 88101
- Phone
- (217) 415-0855
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist - Pediatrics — Pediatrics |
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| Elizabeth A. Dillard, MS, OTR, L | |
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| Audrey R Bergen, OTRL |
Organizations
| Provider Name | |
|---|---|
| Outside the Box Therapy, LLC |
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