NPI 1447385950
Jerry J. Jordan, EDDCTRS
Practice location
- Address
- 325 Donna Ave, Guthrie, OK 73044-9494
- Phone
- (405) 744-9424
- Fax
- (405) 744-6507
Registered specialties
Recreation Therapist
Primary
Registry record
- NPI
- 1447385950
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 23 Feb 2007
- Record last updated
- 8 Jul 2007
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.