Individual
ERIC LAWRENCE JORDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2820 WATERFORD LAKE DR, STE 103, MIDLOTHIAN, VA 23112-3994
(804) 249-8277
(804) 249-9690
Mailing address
2820 WATERFORD LAKE DR, STE 103, MIDLOTHIAN, VA 23112-3994
(804) 249-8277
(804) 249-9690
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305202925
VA
Other
Enumeration date
11/29/2005
Last updated
09/18/2018
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