Most Relevant Information
Provider Data
| NPI Number: | 1003386269 |
| Provider Name: | JORDAN ANDERSON |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 5201010227 |
Most Important Dates
| Enumeration Date: | 11/30/2018 |
| Last Updated: | 11/30/2018 |
Provider Practice Location
1234 NAPIER AVE
SAINT JOSEPH
MI
490852112
Practice Location Phone/Fax
| Phone: | 2699838332 |
| Fax: |
Provider Mailing Location
1234 NAPIER AVE
SAINT JOSEPH
MI
490852112
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |