Individual
JORDAN MCCARTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4698 E MICHIGAN ST, ORLANDO, FL 32812-5234
(407) 658-1732
Mailing address
418 SONESTA CT, CASSELBERRY, FL 32707-5723
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA31164
FL
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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