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Individual

JORDAN DOUGHTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
18109 PRINCE PHILIP DR, SUITE B-200, OLNEY, MD 20832-1519
(855) 546-2066
(301) 570-7416
Mailing address
20410 CENTURY BLVD STE 215, GERMANTOWN, MD 20874-1187

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
53799
CA
225200000X
Physical Therapy Assistant
Primary
A4729
MD
225200000X
Physical Therapy Assistant
P161429707
WA
225200000X
Physical Therapy Assistant
PTA-014816
AZ
225200000X
Physical Therapy Assistant
PTA1983
NM

Other

Enumeration date
03/17/2017
Last updated
10/12/2025
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