NPI 1063985000

Dorian H. Jordan, COTAL

Practitioner Occupational Therapy Assistant Quitman, GA

Practice location

Address: 1901 W Screven St, Quitman, GA 31643-3913
Phone: (229) 263-6100
Mailing address: 805 Harmon Dr APT D14, Valdosta, GA 31601-3822

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OTA002209 (GA)

Other Occupational Therapy Assistant providers in Georgia →

Registry record

NPI: 1063985000
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Jan 2019
Record last updated: 2 Jan 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.