Individual
JORDYN ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
159 CROSSOVER RD, BEULAVILLE, NC 28518-8801
(910) 298-6455
Mailing address
211 N BROWN RD, BEULAVILLE, NC 28518-7703
(423) 782-6332
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A6940
NC
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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