Individual
JORDAN ORICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC, OTC
Contact information
Practice address
6600 VAN AALST BLVD BLDG 9250, FORT MOORE, GA 31905-2102
(762) 408-2604
Mailing address
19707 HWY 208 E, 1104, SMITHS STATION, AL 36877
(704) 223-5524
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-4628
NC
Other
Enumeration date
01/12/2020
Last updated
06/30/2023
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