Individual
MRS. KIMBERLY W JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PT
Contact information
Practice address
7430 SPRING VILLAGE DR, SPRINGFIELD, VA 22150-4487
(703) 923-4680
(703) 923-4681
Mailing address
7430 SPRING VILLAGE DRIVE, SPRINGFIELD, VA 22150-4487
(703) 923-4680
(703) 923-4681
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305006473
VA
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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