TINA JORDAN

LANDER, WY
NPI1699110940
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: WY  COTA-733)
Enumeration Date2013-04-30
Last Update Date2013-04-30
Business Address
-- TINA JORDAN COTA
307 MAIN ST
LANDER, WY 82520-3101
Phone number: 307-332-2715
Mailing Address
-- TINA JORDAN COTA
307 MAIN ST
LANDER, WY 82520-3101
Phone number: 307-332-2715
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