Miranda, Jordan
Miranda, Jordan is an individual health care provider with primary practice located at 509 E 7Th St , South Boston MA 02127-4150. 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. Miranda, Jordan can be contacted via phone (617) 306-8372.Contact Information
Primary practice address
509 E 7Th St
South Boston MA 02127-4150
Phone: (617) 306-8372
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PTL28103 | Massachusetts |
Profile Details
| NPI number | 1871319616 |
|---|---|
| LBN Legal business name | Miranda, Jordan |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 26th, 2024 |
| Last updated | Oct 17th, 2025 - about last year |
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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