Jordan Song
Occupational Therapist in San Francisco, CA. Individual provider (NPI-1).
NPI number1730656232
StatusActive
Last updated in NPPESNov 1, 2018
Details
- NPI
- 1730656232
- Entity type
- Individual (NPI-1)
- Name
- Jordan Song
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 1, 2018
- Last updated
- Nov 1, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | – | – | Yes |
| 101Y00000X | Counselor | – | – |
Practice location
425 Divisadero St Ste 300San Francisco, CA 94117-2242
Phone 415-551-0975
Mailing address
425 Divisadero St Ste 300San Francisco, CA 94117-2242
Phone 415-551-0975
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