Individual
JORDAN WITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1516 KOGER CENTER BLVD, NORTH CHESTERFIELD, VA 23235-4721
(804) 220-0106
Mailing address
1903 MILLSAP LN, NORTH CHESTERFIELD, VA 23235-3717
(804) 220-0106
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305213681
VA
Other
Enumeration date
06/18/2020
Last updated
07/05/2024
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