Individual
JENNIFER GIORDANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
15190 COMMUNITY RD, SUITE 110, GULFPORT, MS 39503-3485
(228) 831-4646
(228) 831-4689
Mailing address
15190 COMMUNITY RD, SUITE 110, GULFPORT, MS 39503-3485
(228) 831-4646
(228) 831-4689
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA3555
MS
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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