Individual
JORDAN BLOUNT RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
113 LIELMANIS AVE, HURLBURT FIELD, FL 32544-5613
(850) 884-2458
Mailing address
113 LIELMANIS AVE, HURLBURT FIELD, FL 32544-5613
(850) 884-2458
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
8444
TN
Other
Enumeration date
11/05/2008
Last updated
05/13/2024
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