| NPI | 1659548451 |
|---|---|
| Former Name | TAMARA L JORDAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IN 31004654A) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IN 99032094A) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2020-04-23 |