Jordan, Audrey

Jordan, Audrey is an individual health care provider with primary practice located at 379 Pinehaven Street Ext , Laurens SC 29360-2672. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Jordan, Audrey can be contacted via phone (864) 984-6584.

Contact Information

Primary practice address
379 Pinehaven Street Ext Laurens SC 29360-2672
Phone: (864) 984-6584
Fax: (864) 984-6464
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 9852 South Carolina

Profile Details

NPI number 1639728066
LBN Legal business name Jordan, Audrey
Credentials PT, DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2019
Last updated Sep 9th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639728066 NPPES
South Carolina Other 9852 SOUTH CAROLINA BOARD OF PHYSICAL THERAPY EXAMINERS

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