Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JORDAN SAMUEL LOWRY
Active Sole ProprietorMR. JORDAN SAMUEL LOWRY is a Occupational Therapy Assistant healthcare provider located in MORO, Illinois. NPI 1932868080 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · MORO, IL
Registration Details
- NPI Number
- 1932868080
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 15, 2021 (4.7031494810539 yrs)
- Last Updated
- Dec 15, 2021
- License
-
057005672 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6330 HIGH STMORO, IL, 620671416Browse IL providers · Browse ZIP 62067
- Phone
- 6189605080
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
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.