Individual
THOMAS ROGER JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4907 NIAGARA RD STE 102, COLLEGE PARK, MD 20740-1100
(301) 474-0067
(202) 204-5849
Mailing address
11 RIDGE RD UNIT C, GREENBELT, MD 20770-2949
(301) 474-0067
(202) 204-5849
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
R02499
MD
Other
Enumeration date
06/30/2017
Last updated
06/30/2017
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