Individual
MR. ROBERT ARTHUR SEAN JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1805 27TH ST, WALLER BLDG STE. 308, PORTSMOUTH, OH 45662-2640
(740) 356-5000
Mailing address
1420 2ND ST, PORTSMOUTH, OH 45662-4605
(513) 773-5122
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003696
OH
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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