Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. LYSBETH JANE JORDAN, MOT OTR/L
Active Sole ProprietorMRS. LYSBETH JANE JORDAN, MOT OTR/L is a Pediatric Occupational Therapist healthcare provider located in SAINT JOSEPH, Missouri. NPI 1326192550 is currently active in the NPPES registry. Verify at CMS.
Pediatric Occupational Therapist · SAINT JOSEPH, MO
Registration Details
- NPI Number
- 1326192550
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 23, 2007 (19.573538421701 yrs)
- Last Updated
- Oct 26, 2017
- License
-
005493 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3014 EDMOND STSAINT JOSEPH, MO, 645013312Browse MO providers · Browse ZIP 64501
- Phone
- 8163832772
- Fax
- 8162328777
- Primary Specialty
-
Pediatric Occupational Therapist
225XP0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.