Individual
MATTHEW ALEXANDER JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
20041 RIVERSIDE COMMONS PLZ, ASHBURN, VA 20147-5151
(703) 466-0447
Mailing address
9682 CEDAR FARM CIR, FAIRFAX, VA 22031-5404
(571) 414-7433
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126003611
VA
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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