Individual
JORDAN MANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
315 TURNPIKE ST, NORTH ANDOVER, MA 01845-5806
(978) 837-5000
Mailing address
48 ELLIS AVE, LOWELL, MA 01854-2627
(978) 320-9465
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/07/2021
Last updated
12/07/2021
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