Individual
KAYLA JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 FAULKNER DR, BAY MINETTE, AL 36507-2771
(251) 937-9881
Mailing address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132
(601) 276-3900
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA8201
AL
Other
Enumeration date
06/28/2017
Last updated
06/28/2017
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