Individual
MISS BOBBI LYNN JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
170 PINECREST DR, GALLIPOLIS, OH 45631-1347
(740) 446-7112
(740) 446-9088
Mailing address
2984 EVANS RD, LEON, WV 25123-8600
(304) 593-2873
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
05246
OH
Other
Enumeration date
06/26/2007
Last updated
07/08/2007
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