Individual
MS. SUSAN P JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
520 KERR AVE, DENTON, MD 21629-1343
(410) 479-2130
(410) 479-3057
Mailing address
200 NORTHPOINTE CIRCLE SUITE 302, SEVEN FIELDS, PA 16046
(410) 479-2130
(410) 479-3057
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3417
MD
Other
Enumeration date
12/04/2012
Last updated
12/04/2012
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