Individual
JONATHAN JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18 CARMEL LN, FEEDING HILLS, MA 01030-1002
(413) 214-2619
Mailing address
18 CARMEL LN, FEEDING HILLS, MA 01030-1002
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
21758
MA
Other
Enumeration date
02/28/2015
Last updated
02/28/2015
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