Individual
JORDAN PARISH KNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
14711 LINDEN BLVD, JAMAICA, NY 11436-1127
(718) 377-5000
(718) 377-5002
Mailing address
14711 LINDEN BLVD, JAMAICA, NY 11436-1127
(718) 377-5000
(718) 377-5002
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
010909
NY
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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