JORDAN BLANTON
Individual Provider (NPI-1)
Active
Occupational Therapy Assistant
Provider Information
- NPI Number
1932810058- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 101 N PLAIN RD, JACKSONVILLE, NC, 285466760
- Phone
- (910) 298-2331
Specialties & Taxonomies
Occupational Therapy Assistant
Primary License: NC #15401