| NPI | 1356833446 |
|---|---|
| Former Name | ERICKA JORDAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P18056) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC PT.9147) |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2021-04-07 |