Individual
DIANA JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
12311 PERRY HWY, WEXFORD, PA 15090-8344
(878) 332-4143
Mailing address
12311 PERRY HWY, WEXFORD, PA 15090-8344
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT031355
PA
Other
Enumeration date
07/17/2023
Last updated
08/11/2023
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