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Jordan Carver, COTA/L

NPI 1912278391 · on the registry since 2012 · sole proprietor

Practice

Address
203 Mai Ridge Lane
Lafayette, TN 37083
Phone
(615) 633-8159

Registry record

Primary taxonomy
314000000X
314000000X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-01-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee