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1962040519
MICHELLE JORDAN
UTICA, NY
NPI
1962040519
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 009541)
Enumeration Date
2019-12-13
Last Update Date
2019-12-13
Business Address
MICHELLE JORDAN Physical Therapy Ass
1676 SUNSET AVE
UTICA, NY 13502-5416
Phone number: 315-624-5400
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Mailing Address
MICHELLE JORDAN Physical Therapy Ass
2209 GENESEE STREET BUSINESS OFFICE ROOM 315
UTICA, NY 13501
Phone number: 315-801-3282
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