Individual
DR. JORDAN MICHAEL PRIDGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
8952 MARKET ST # 7B, DOVER, AR 72837-9110
(479) 331-3303
Mailing address
1506 W 3RD ST, RUSSELLVILLE, AR 72801-4828
(479) 857-3983
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4226
AR
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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