Audra Jordan Mead, OTR/L
Occupational Therapist, Physical Rehabilitation in Philadelphia, PA. Individual provider (NPI-1).
NPI number1669949244
StatusActive
Last updated in NPPESOct 31, 2018
Details
- NPI
- 1669949244
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Audra Jordan Mead
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 31, 2018
- Last updated
- Oct 31, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225XP0019X | Occupational Therapist, Physical Rehabilitation | Oc014666 | PA | Yes |
Practice location
1217 S Clarion StPhiladelphia, PA 19147-4413
Phone 215-804-8003
Mailing address
1217 S Clarion StPhiladelphia, PA 19147-4413
Phone 215-804-8003
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