Individual
JORDAN SEALS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
225 RTE 35 STE 205, RED BANK, NJ 07701-5934
(732) 530-7700
Mailing address
19 MORFORD PL APT 7C, RED BANK, NJ 07701-1041
(908) 601-5217
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00300500
NJ
Other
Enumeration date
12/20/2022
Last updated
12/20/2022
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