Individual
KEELY JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3540 COBB PKWY NW STE 300, ACWORTH, GA 30101-4179
(678) 501-6300
Mailing address
1650 N ROBERTS RD NW APT 2113, KENNESAW, GA 30144-3777
(731) 415-8488
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/21/2021
Last updated
04/21/2021
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