Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY JEAN JORDAN
Active Sole ProprietorKELLY JEAN JORDAN is a Occupational Therapy Assistant healthcare provider located in CRESTWOOD, Illinois. NPI 1770208837 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · CRESTWOOD, IL
Registration Details
- NPI Number
- 1770208837
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 11, 2022 (3.8250655241448 yrs)
- Last Updated
- Oct 11, 2022
- License
-
057001853
- Sole Proprietor
- Yes
Practice Information
- Address
-
13020 S CENTRAL AVECRESTWOOD, IL, 604182710Browse IL providers · Browse ZIP 60418
- Phone
- 7083890555
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in CRESTWOOD, IL
| Name | Credential | NPI |
|---|---|---|
| DIANA DALEY | COTA | 1033645643 |
| MRS. ERICA M COLEMAN | COTA/L | 1255801734 |
| DOMINIQUE DEVON NELSON | — | 1922770429 |
| MRS. HOLLY BIVONA | — | 1043936933 |
| SUMAIEH JABER | COTA/L | 1235993866 |
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.