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Contact Information

COURTNEY P JORDAN, COTA
423 N MCLEAN BLVD
WICHITA, KS67203
 Phone: 316-618-1252
 Fax: 316-869-2277
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for COURTNEY P JORDAN · (Female)

NPI Number 1114333283
Status Active
Credentials COTA (Certified Occupational Therapy Assistant)
Entity Individual
Enumeration date 07/09/2014
Last updated 09/06/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • KS License # 18-00791
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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