JODY MICHAEL JORDAN

HANOVER, PA
NPI1164242889
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: PA  OP010023)
Enumeration Date2024-10-16
Last Update Date2024-10-16
Business Address
JODY MICHAEL JORDAN COTA/L
425 WESTMINSTER AVE
HANOVER, PA 17331-9141
Phone number: 717-637-4166
Mailing Address
JODY MICHAEL JORDAN COTA/L
9 ELK DR
HANOVER, PA 17331-8869
Phone number: 443-974-8831