Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Alice Jordan

Individual provider Pediatric Occupational Therapist · NPI 1821989336

Mary Alice Jordan is a Pediatric Occupational Therapist in Benton, Arkansas. Practices as a sole proprietor. Licensed in Arkansas.

Licensed in
AR
In the registry since
2025

Practice location Address checks out

17706 Interstate 30 N Ste 3
Benton, AR 72019-2930
Phone: (501) 315-4414
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence OTR4087 (AR)

Record details

NPI number1821989336
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 12, 2025
Last updated in NPPESJuly 12, 2025
Certification dateJuly 12, 2025

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