Individual
JORDAN JAMES PETERSON KIGHTLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
11277 VERNON PL, MEADVILLE, PA 16335-3717
(814) 333-5214
(814) 333-1482
Mailing address
11277 VERNON PL, MEADVILLE, PA 16335-3717
(814) 333-5214
(814) 333-1482
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE013173
PA
Other
Enumeration date
02/23/2023
Last updated
02/23/2023
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