Individual
ANGELA M JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
225 KATHERINE DR, FLOWOOD, MS 39232-9588
(601) 750-3120
Mailing address
212 BELLE OAK DR, BRANDON, MS 39042-8251
(601) 750-3120
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2977
MS
Other
Enumeration date
04/06/2011
Last updated
12/15/2021
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