Marquis Jordan DPT

NPI 1639330590 - Physical Therapist - 225100000X

NPI Details
NPI 1639330590
Gender Male
Enumeration Date 06/23/2008
Last Updated 04/25/2013
Entity Type Individual
Active Over 8 years ago
Practice Location
2550 RAVENHILL DR STE 103
FAYETTEVILLE NC, 28303-9628, US
Phone (910) 484-8492
Fax
Business Location
420 E COVINGTON ST
LAURINBURG NC, 28352-4953, US
Phone
Fax
Toxanomy
Taxonomy Code 225100000X
License State North Carolina
License Number 10732
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According to our database, Marquis Jordan DPT NPI is 1639330590, taxonomy code is 225100000X and license number is 10732, license state is located at North Carolina. Marquis Jordan DPT physically located at 2550 Ravenhill Dr Ste 103, Fayetteville NC, 28303-9628. NPI Number Marquis Jordan DPT has the Individual type.

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1639330590 NPI number is provided on an as is basis without warranty of any kind. 1639330590 is maintained by the National Plan & Provider Enumeration System. The contents of Marquis Jordan DPT are for informational purposes only.