Mykal Jordan, OTR/L in Broken Bow, OK - Occupational Therapist

Mykal Jordan, OTR/L is a Occupational Therapist based in Broken Bow, Oklahoma. Mykal Jordan is licensed to practice in Oklahoma (license number OT1773) and her current practice location is 720 Sweet Home Rd, Broken Bow, Oklahoma. She can be reached at her office (for appointments etc.) via phone at (580) 212-2353.

NPI number for Mykal Jordan is 1386176899 and her current mailing address is 720 Sweet Home Rd, Broken Bow, Oklahoma. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386176899.

Contact Information

	Mykal Jordan, OTR/L
	720 Sweet Home Rd, Broken Bow, OK 74728-6542
	(580) 212-2353
	(580) 584-2540

Healthcare Provider's Profile

Full Name	Mykal Jordan
Gender	Female
Speciality	Occupational Therapist
Location	720 Sweet Home Rd, Broken Bow, Oklahoma
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1386176899
Provider Enumeration Date: 04/03/2017
Last Update Date: 04/03/2017

Medical Identifiers

Medical identifiers for Mykal Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386176899	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OT1773 (Oklahoma)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mykal Jordan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mykal Jordan, OTR/L 720 Sweet Home Rd, Broken Bow, OK 74728-6542 Ph: (580) 212-2353	Mykal Jordan, OTR/L 720 Sweet Home Rd, Broken Bow, OK 74728-6542 Ph: (580) 212-2353

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Mykal Jordan, OTR/L - Occupational Therapist in Broken Bow, OK