MRS. Amy B Jordan, ATC, LAT

NPI #1902860794 in Mansfield, Ohio

Provider Information

NPI Number: 1902860794
Entity Type: Individual
Name: MRS. Amy B Jordan, ATC, LAT
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Specialist
Credential: ATC, LAT
Enumeration Date: Apr 17, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2525 W 4TH ST
City: Mansfield
State: Ohio
ZIP Code: 44906-1208
Phone: (419) 755-5109

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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