Provider Demographics
NPI:1477074508
Name:GIARRAPUTO, JORDAN PAIGE (OTR/L)
Entity Type:Individual
Prefix:
First Name:JORDAN
Middle Name:PAIGE
Last Name:GIARRAPUTO
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:JORDAN
Other - Middle Name:PAIGE
Other - Last Name:SABINO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8565 TIDEWATER DR APT B
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23503-5550
Mailing Address - Country:US
Mailing Address - Phone:845-325-3101
Mailing Address - Fax:
Practice Address - Street 1:1508 VOLVO PKWY
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-8293
Practice Address - Country:US
Practice Address - Phone:877-648-3070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-28
Last Update Date:2017-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119007386225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist