Individual
DAVID RAYMOND JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
301 GLENWOOD PL, SILOAM SPRINGS, AR 72761
(479) 215-9082
Mailing address
301 GLENWOOD PL, SILOAM SPRINGS, AR 72761-2317
(479) 215-9082
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4387
AR
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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