Individual
JORDAN A EARLYWINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
540 CENTRE VIEW BLVD, CRESTVIEW HILLS, KY 41017-3400
(513) 221-1100
(859) 341-3913
Mailing address
162 BARNWOOD DR, EDGEWOOD, KY 41017-2501
(859) 331-4163
(859) 331-4163
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007821
KY
Other
Enumeration date
11/08/2019
Last updated
03/18/2020
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