ELLEN JORDAN

SUMMIT, MS
NPI1922288083
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MS  3887)
Enumeration Date2007-11-06
Last Update Date2012-07-18
Business Address
-- ELLEN JORDAN
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number: 601-683-6644
Mailing Address
-- ELLEN JORDAN
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number:
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