| NPI | 1255769188 |
|---|---|
| Former Name | JULIE LYNN JORDAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: MI 5201000051) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201000051) |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2017-10-05 |