Individual
DR. CHARLES JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2699 WEHRLE DR, WILLIAMSVILLE, NY 14221-7332
(716) 632-3700
Mailing address
50 BRANTLEY CT, GETZVILLE, NY 14068-1547
(716) 465-4510
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
042557
NY
Other
Enumeration date
11/20/2017
Last updated
11/20/2017
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