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Individual

JORDYN LEANN MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
400 TERRACE DR, AURORA, MO 65605-1996
(417) 840-2817
Mailing address
400 TERRACE DR, AURORA, MO 65605-1996
(417) 840-2817

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2016035157
MO

Other

Enumeration date
10/20/2023
Last updated
10/20/2023
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