Individual
EMILY ANNE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
204 GUMWOOD DR, SMITHFIELD, VA 23430-6087
(757) 357-7762
Mailing address
540 CONSERVANCY WAY APT 106, CHESAPEAKE, VA 23323-1334
(724) 859-9626
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305213515
VA
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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