Individual
JILLIAN JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1539 ATWOOD AVE, JOHNSTON, RI 02919-3262
(401) 351-0515
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
(812) 275-9745
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00748-G
RI
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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