Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JARED CORDUM
ActiveJARED CORDUM is a Pediatric Occupational Therapist healthcare provider located in CLOVIS, New Mexico. NPI 1558007518 is currently active in the NPPES registry. Verify at CMS.
Pediatric Occupational Therapist · CLOVIS, NM
Registration Details
- NPI Number
- 1558007518
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 11, 2022 (4.2841001688917 yrs)
- Last Updated
- Jul 22, 2022
Practice Information
- Address
-
3009 PRINCE STREETSITE 46CLOVIS, NM, 88101Browse NM providers · Browse ZIP 88101
- Phone
- 2174150855
- 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.