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Individual

JORDAN LORMOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPTA

Contact information

Practice address
185 CORNERSTONE LN, HOT SPRINGS, AR 71913-6500
(501) 525-4855
Mailing address
1620 RINGTAIL DR, WYLIE, TX 75098-6696
(469) 879-2195

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1398569
TX
225200000X
Physical Therapy Assistant
2156700
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1398569
PHYSICAL THERAPIST
TX
01
2156700
LICENSED PHYSICAL THERAPIST ASSISTANT
TX
Enumeration date
11/12/2020
Last updated
10/09/2024
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