Individual
JORDAN MANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1326 EISENHOWER DR, SAVANNAH, GA 31406-3928
(912) 691-4250
Mailing address
314 E 60TH ST, SAVANNAH, GA 31405-4225
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003805
GA
Other
Enumeration date
04/14/2021
Last updated
04/14/2021
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