Individual
JORDAN FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8160 W COAL MINE AVE, LITTLETON, CO 80123-4430
(720) 845-2500
Mailing address
11774 ALBION ST, THORNTON, CO 80233-5110
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
0014605
CO
225200000X
Physical Therapy Assistant
Primary
—
CO
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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