GARY LEE JORDAN

LOUISVILLE, KY
NPI1316299183
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IN  32002181A)
Enumeration Date2012-10-03
Last Update Date2012-10-03
Business Address
Mr. GARY LEE JORDAN COTA/L
303 N HURSTBOURNE PKWY SUITE 200
LOUISVILLE, KY 40222-5185
Phone number: 502-412-5847
Mailing Address
Mr. GARY LEE JORDAN COTA/L
10348 HAUBROCK RD
SUNMAN, IN 47041-8796
Phone number: 812-926-9241
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