Ellen Jordan
NPI #1922288083 in Summit, Mississippi
Provider Information
- NPI Number
- 1922288083
- Entity Type
- Individual
- Name
- Ellen Jordan
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- Nov 6, 2007
- Last Updated
- Jul 18, 2012
Practice Location
- Address
- 4109 HIGHWAY 98 W
- City
- Summit
- State
- Mississippi
- ZIP Code
- 39666-9132
- Phone
- (601) 683-6644
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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