Individual
JORDAN BETH MAEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
7213 S SIWELL RD STE A, BYRAM, MS 39272-9776
(601) 346-9191
(601) 346-5011
Mailing address
199 N BROOKMOORE DR, COLUMBUS, MS 39705-2024
(662) 327-6705
(662) 327-6760
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6570
MS
225100000X
Physical Therapist
—
—
Other
Enumeration date
08/30/2017
Last updated
10/04/2018
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