KELLY JEAN JORDAN

CRESTWOOD, IL
NPI1770208837
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence:   057001853)
Enumeration Date2022-10-11
Last Update Date2022-10-11
Business Address
KELLY JEAN JORDAN
13020 S CENTRAL AVE
CRESTWOOD, IL 60418-2710
Phone number: 708-389-0555
Mailing Address
KELLY JEAN JORDAN
9396 CALUMET ST
DYER, IN 46311-2778
Phone number: 708-539-3348