Jordan Congleton, PTA

NPI #1346934353 in Fairborn, Ohio

Provider Information

NPI Number: 1346934353
Entity Type: Individual
Name: Jordan Congleton, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jun 5, 2023
Last Updated: Jun 5, 2023

Practice Location

Address: 7774 DAYTON SPRINGFIELD RD
City: Fairborn
State: Ohio
ZIP Code: 45324-1957
Phone: (937) 340-6261

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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