Individual
MRS. KELLY E JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1610 CENTER ST, MOBILE, AL 36604-1512
(251) 415-1670
Mailing address
9810 WULFF RD S, SEMMES, AL 36575-6265
(251) 508-7477
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH5057
AL
Other
Enumeration date
07/19/2007
Last updated
09/25/2009
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