DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MARY KATHERINE JORDAN OTD,OTR/L

MEDICARE:   MARY KATHERINE JORDAN  OTD,OTR/L
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 TherapistOT7162CA

General Provider Information

NPI Number : 1982617825
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY KATHERINE JORDAN OTD,OTR/L
Provider Business Mailing Address
First Line : PO BOX 31309
Second Line :
City : LOS ANGELES
State : CA
Zip : 90031-0309
Country : US
Telephone Number : 323-442-3340
Fax Number :
Provider Business Practice Location Address
First Line : 1640 MARENGO ST STE 500
Second Line :
City : LOS ANGELES
State : CA
Zip : 90033-1061
Country : US
Telephone Number : 323-442-3340
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2006
Last Update Date : 11/27/2023

Similar Medicare Providers

1073476222 — ABIGAIL KATZ PT, DPT, MS
Practice Location Address:
1640 MARENGO ST STE 102
LOS ANGELES, CA
90033-1061
Practice Phone: 323-865-1200
Practice Fax:
1992805840 — MRS. ROBBIN EILEEN HOWARD PT,DPT,NCS
Practice Location Address:
1640 MARENGO ST STE 102
LOS ANGELES, CA
90033-1061
Practice Phone: 323-865-1200
Practice Fax:
1144425398 — LORI MICHI GINOZA D.P.T.
Practice Location Address:
1640 MARENGO ST STE 102
LOS ANGELES, CA
90033-1061
Practice Phone: 323-865-1200
Practice Fax:
1548459811 — FRANCES KWAN PT, DPT
Practice Location Address:
1640 MARENGO ST STE 102
LOS ANGELES, CA
90033-1061
Practice Phone: 323-865-1200
Practice Fax:
1538472972 — STEPHANIE L WOELFEL PT, MPT, CWS, FACCWS
Practice Location Address:
1640 MARENGO ST STE 102
LOS ANGELES, CA
90033-1061
Practice Phone: 323-865-1200
Practice Fax:
1972850618 — JUSTIN M LANTZ PT, DPT
Practice Location Address:
1640 MARENGO ST STE 102
LOS ANGELES, CA
90033-1061
Practice Phone: 323-865-1200
Practice Fax:

Directions to “ MARY KATHERINE JORDAN OTD,OTR/L” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.