Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. AVERY MILES JORDAN, LPTA/LPN
ActiveMR. AVERY MILES JORDAN, LPTA/LPN is a Occupational Therapist healthcare provider located in RICHMOND, Virginia. NPI 1639362809 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · RICHMOND, VA
Registration Details
- NPI Number
- 1639362809
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 21, 2007 (19.008811923812 yrs)
- Last Updated
- Aug 21, 2007
- Licenses
-
0002040749 (VA)2306001152 (VA)
Practice Information
- Address
-
1201 E BROAD ROCK RDRM 1S-112RICHMOND, VA, 232490001Browse VA providers · Browse ZIP 23249
- Phone
- 8046755000
- Fax
- 8046755335
- Primary Specialty
-
Occupational Therapist
225200000X
- Additional Specialty
- Occupational Therapist
Other Occupational Therapist Providers in RICHMOND, VA
| Name | Credential | NPI |
|---|---|---|
| MARY HESTER | — | 1710057526 |
| MRS. ELIZABETH ANN DONOVAN | LPTA | 1922131960 |
| MARY R LYNN | LPTA | 1225161797 |
| MRS. ROBIN PERDUE WADKINS | LPTA | 1356465249 |
| MAURA DOROTHY FARRELL | LPTA | 1790809176 |
| STEPHANIE STEVENS | LPTA | 1013033729 |
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.