IndividualActive
Charles Jordan, OTA
NPI 1902693955 · Occupational Therapy Assistant · Laughlin, NV
Provider details
- NPI number
- 1902693955
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTA
- Sole proprietor
- No
- License
- OTA-2385 (NV)
Practice location
3100 S Needles Hwy Ste 500
Laughlin, NV 89029-0815
Phone: (702) 868-1400
Mailing address
746 E Winchester St Ste 200
Murray, UT 84107-8513
Registry dates
- Enumerated
- 2025-04-23
- Last updated
- 2025-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.