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Mrs. Amy B Jordan, ATC,LAT
Specialist in Mansfield, Ohio
NPI 1902860794

Amy B Jordan is a Specialist based in Marion, OH. Amy B Jordan practices in Mansfield, OH and has the professional credentials of ATC,LAT. The NPI Number for Amy B Jordan is 1902860794 and holds a License No. AT-1591 (Ohio).

The current practice location address for Amy B Jordan is 2525 W 4Th St, Mansfield, OH and can be reached out via phone at 419-755-5109.

Location: 2525 W 4Th St, Mansfield, OH, 43302-8365
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902860794
Provider Name
Amy B Jordan
Credential
ATC,LAT
Provider Entity Type
Individual
Gender
Female
Address
2525 W 4Th St, Mansfield, OH, 43302-8365
Phone Number
419-755-5109
Fax Number
Provider Enumeration Date
04/17/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2525 W 4Th St
City
Mansfield
State
Ohio
Zip
44906-1208
Phone Number
419-755-5109
Fax Number
person
Provider Business Mailing Address Details
Address
2525 W 4Th St
City
Mansfield
State
Ohio
Zip
44906-1208
Phone Number
419-755-5109
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
AT-1591 (Ohio)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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