MARIAH JORDAN

FORT WAYNE, IN
NPI1528734571
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06006248A)
Enumeration Date2021-08-19
Last Update Date2021-08-19
Business Address
MARIAH JORDAN PTA
4180 SAGE BLUFF XING
FORT WAYNE, IN 46804-2363
Phone number: 260-443-7300
Mailing Address
MARIAH JORDAN PTA
9921 WOODLAND RDG W
FORT WAYNE, IN 46804-4788
Phone number:
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