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MICHELLE JORDAN Physical Therapy Ass

Individual Provider (NPI-1) Active

Physical Therapy Assistant

Provider Information

NPI Number
1962040519
Provider Type
Individual Provider (NPI-1)
Credentials
Physical Therapy Ass
Status
Active

Contact & Location

Address
1676 SUNSET AVE, UTICA, NY, 135025416
Phone
(315) 624-5400
Fax
(315) 624-5395

Specialties & Taxonomies

Physical Therapy Assistant Primary License: NY #009541

All Addresses

MAILING

2209 GENESEE STREET BUSINESS OFFICE ROOM 315

UTICA, NY, 13501

(315) 801-3282

LOCATION

1676 SUNSET AVE

UTICA, NY, 135025416

(315) 624-5400