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Individual

TONYA KAYE JORDAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MPT

Contact information

Practice address
1100 E BROADWAY AVE, BLOOMFIELD, NM 87413-6650
(505) 320-6401
Mailing address
1100 E BROADWAY AVE, BLOOMFIELD, NM 87413-6650
(505) 320-6401

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2162
NM

Other

Enumeration date
04/21/2026
Last updated
04/21/2026
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