Individual provider · Type 1 NPI
Kimbry Jordan
Developmental Therapist · Colonial Heights, VA
Practice location
248 Bluffs Ter
Colonial Heights, VA 23834-1823
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | T65470477 (VA) |
Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…
About NPI 1508124355
Kimbry Jordan's National Provider Identifier is 1508124355, issued on Apr 30, 2012. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Colonial Heights, VA. The record was last updated on Apr 30, 2012.