-- TINA JORDAN -- COTA
Individual Provider (NPI-1)
Active
Occupational Therapy Assistant
Provider Information
- NPI Number
1699110940- Provider Type
- Individual Provider (NPI-1)
- Credentials
- COTA
- Status
- Active
Contact & Location
- Address
- 307 MAIN ST, LANDER, WY, 825203101
- Phone
- (307) 332-2715
- Fax
- (307) 332-3014
Specialties & Taxonomies
Occupational Therapy Assistant
Primary License: WY #COTA-733