Individual
SAMANTHA M JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
777 LAURA DR, MARION, OH 43302-5515
(614) 284-9728
Mailing address
777 LAURA DR, MARION, OH 43302-5515
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
1944
CT
225200000X
Physical Therapy Assistant
Primary
PTA011025
OH
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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