Tina Jordan, COTA

NPI #1699110940 in Lander, Wyoming

Provider Information

NPI Number
1699110940
Entity Type
Individual
Name
Tina Jordan, COTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
COTA
Enumeration Date
Apr 30, 2013
Last Updated
Apr 30, 2013

Practice Location

Address
307 MAIN ST
City
Lander
State
Wyoming
ZIP Code
82520-3101
Phone
(307) 332-2715

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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