Individual
JORDAN R FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
703 CLINTON PKWY, CLINTON, MS 39056-5245
(601) 708-4205
(601) 708-4707
Mailing address
8205 PRESIDENTS DR, HUMMELSTOWN, PA 17036-8621
(717) 839-2188
(717) 565-1104
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5995
MS
Other
Enumeration date
06/26/2020
Last updated
06/26/2020
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