Lisa Ann Jordan, OTR/L
Occupational Therapist, Feeding, Eating & Swallowing in Omaha, NE. Individual provider (NPI-1).
NPI number1407124159
StatusActive
Last updated in NPPESMar 5, 2012
Details
- NPI
- 1407124159
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Lisa Ann Jordan
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 9, 2011
- Last updated
- Mar 5, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225XF0002X | Occupational Therapist, Feeding, Eating & Swallowing | 619 | NE | Yes |
| 225XF0002X | Occupational Therapist, Feeding, Eating & Swallowing | 1292 | NE |
Practice location
16910 Frances StSuite 102
Omaha, NE 68130-2399
Phone 402-932-3355 · Fax 402-932-3370
Mailing address
17641 Woolworth AveOmaha, NE 68130-4617
Phone 402-391-0804
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