NPI 1750514600

Gina Michele Jordan, COTAL

Practitioner Occupational Therapy Assistant Columbia, MD

Practice location

Address: 10015 Old Columbia Rd Suite B 215, Columbia, MD 21046-1703
Phone: (410) 312-7631
Mailing address: 400 Symphony Cir #331, Hunt Valley, MD 21030-1989

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence A00176 (MD)

Other Occupational Therapy Assistant providers in Maryland →

Registry record

NPI: 1750514600
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Aug 2009
Record last updated: 26 Aug 2009

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.