Individual provider · Type 1 NPI

Gary Lee Jordan, COTA/L

Occupational Therapy Assistant · Louisville, KY

NPI number 1316299183 Active

Practice location

303 N Hurstbourne Pkwy, Suite 200
Louisville, KY 40222-5185

Call (502) 412-5847 Map

Mailing address

10348 Haubrock Rd
Sunman, IN 47041-8796

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X32002181A (IN)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1316299183

Gary Lee Jordan, COTA/L's National Provider Identifier is 1316299183, issued on Oct 3, 2012. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Louisville, KY. The record was last updated on Oct 3, 2012.