Individual
JORDAN CHRISTOPHER BELLAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1432 HIGHWAY 2, GRACEVILLE, FL 32440-4008
(850) 373-7559
Mailing address
1432 HIGHWAY 2, GRACEVILLE, FL 32440-4008
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
21143955
TX
Other
Enumeration date
05/13/2019
Last updated
05/13/2019
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