Individual
JORDAN ADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5775 N UNION BLVD, COLORADO SPRINGS, CO 80918-1744
(719) 434-7044
Mailing address
10918 ZEALAND DR, COLORADO SPRINGS, CO 80925-8461
(719) 680-7302
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0015194
CO
Other
Enumeration date
01/25/2023
Last updated
01/25/2023
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