Individual
JORDAN ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2630 OKLAHOMA AVE, WOODWARD, OK 73801-4010
(580) 256-2102
(580) 256-1410
Mailing address
2630 OKLAHOMA AVE, WOODWARD, OK 73801-4010
(580) 256-2102
(580) 256-1410
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4819
OK
Other
Enumeration date
08/13/2014
Last updated
11/18/2019
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