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Lori Jean Jordan, lpta

Physical Therapy Assistant in West Columbia, SC. Individual provider (NPI-1).

NPI number1629161237
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1629161237
Entity type
Individual (NPI-1)
Name
Ms. Lori Jean Jordan
Credential
lpta
Sex
Female
Sole proprietor
No
Enumeration date
Oct 2, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant1273SCYes

Practice location

2993 Sunset Blvd
West Columbia, SC 29169-3421

Phone 803-939-0026

Mailing address

506 Brookcliff Rd
Cayce, SC 29033-4204

Phone 803-739-0019

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