MR. Jordan Russell Carver, COTA/L

NPI #1912278391 in Lafayette, Tennessee

Provider Information

NPI Number
1912278391
Entity Type
Individual
Name
MR. Jordan Russell Carver, COTA/L
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Skilled Nursing Facility
Credential
COTA/L
Enumeration Date
Jan 18, 2012
Last Updated
Jan 18, 2012

Practice Location

Address
203 MAI RIDGE LANE
ZIP Code
37083-4477
Phone
(615) 633-8159

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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