NPI 1699110940

Tina Jordan, COTA

Practitioner Occupational Therapy Assistant Lander, WY

Practice location

Address: 307 Main St, Lander, WY 82520-3101
Phone: (307) 332-2715
Fax: (307) 332-3014

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence COTA-733 (WY)

Other Occupational Therapy Assistant providers in Wyoming →

Registry record

NPI: 1699110940
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Apr 2013
Record last updated: 30 Apr 2013

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.