Individual
MS. LORI JEAN JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
2993 SUNSET BLVD, WEST COLUMBIA, SC 29169-3421
(803) 939-0026
Mailing address
506 BROOKCLIFF RD, CAYCE, SC 29033-4204
(803) 739-0019
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1273
SC
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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