Individual
JORDAN MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
509 E 7TH ST, SOUTH BOSTON, MA 02127-4150
(617) 306-8372
Mailing address
509 E 7TH ST, SOUTH BOSTON, MA 02127-4150
(617) 306-8372
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL28103
MA
Other
Enumeration date
11/26/2024
Last updated
10/17/2025
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