Individual
JORDAN OSCAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
159 PEARL ST STE 4, ESSEX JUNCTION, VT 05452-3038
(315) 534-9206
Mailing address
159 PEARL ST STE 4, ESSEX JUNCTION, VT 05452-3038
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040.0134361
VT
225100000X
Physical Therapist
042625-1
NY
Other
Enumeration date
12/06/2017
Last updated
02/26/2025
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