Individual
JORDAN LEIGH CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7 RIVERS DR, SUITE 10 & 20, HATTIESBURG, MS 39401-1324
(601) 909-5006
(601) 909-5008
Mailing address
921 W. BEACON ST, PHILADELPHIA, MS 39350-3229
(601) 650-0002
(601) 650-9902
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT7771
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2019
Last updated
12/09/2024
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