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NPI Code Detail

MEDICARE: JORDAN FLAHERTY OTR

MEDICARE: JORDAN FLAHERTY OTR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistTX

General Provider Information

NPI Number : 1851872477
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDAN FLAHERTY OTR
Provider Business Mailing Address
First Line : 1500 SUNSET DR
Second Line :
City : FRIENDSWOOD
State : TX
Zip : 77546-4724
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1500 SUNSET DR
Second Line :
City : FRIENDSWOOD
State : TX
Zip : 77546-4724
Country : US
Telephone Number : 281-992-4300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2018
Last Update Date : 08/22/2018

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Directions to “ JORDAN FLAHERTY OTR” Practice Location

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