JORDAN CONGLETON

FAIRBORN, OH
NPI1346934353
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  52592)
Enumeration Date2023-06-05
Last Update Date2023-06-05
Business Address
JORDAN CONGLETON PTA
7774 DAYTON SPRINGFIELD RD
FAIRBORN, OH 45324-1957
Phone number: 937-340-6261
Mailing Address
JORDAN CONGLETON PTA
PO BOX 3
SOUTH VIENNA, OH 45369-0003
Phone number: 937-561-1941
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