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Individual

JORDAN MARKS NIHOUL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT, ATC

Contact information

Practice address
21 HOLMES CIR, FARMINGTON, CT 06032-2507
(575) 642-2395
Mailing address
21 HOLMES CIR, FARMINGTON, CT 06032-2507
(575) 642-2395

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12258
CT
2255A2300X
Athletic Trainer
1438
CT

Other

Enumeration date
01/20/2015
Last updated
05/06/2026
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